Individual
CAROLINE SUSANNE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
19424 MCKAY DR, HUMBLE, TX 77338-5706
(281) 319-4060
Mailing address
404 OXFORD ST APT 1143, HOUSTON, TX 77007-2674
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
116283
TX
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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