Individual
CHERYLE S WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
151 E BADGER RD, MADISON, WI 53713-2498
(608) 250-2512
Mailing address
2857 EGGIMAN RD, FITCHBURG, WI 53713-3006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19371-130
WI
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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