Individual
MISTY M WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 W STEVE WARINER DR, RUSSELL SPRINGS, KY 42642-4541
(270) 507-6121
Mailing address
145 W STEVE WARINER DR, RUSSELL SPRINGS, KY 42642-4541
(270) 507-6121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7180
KY
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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