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Individual

DR. KATHLEEN KILEY WADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
15002 N 32ND ST, PARADISE VALLEY UNIFIED SCHOOL DISTRICT, PHOENIX, AZ 85032-4441
(602) 449-3777
Mailing address
15002 N 32ND ST, PARADISE VALLEY UNIFIED SCHOOL DISTRICT, PHOENIX, AZ 85032-4441
(602) 449-3777

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
20921
CA
103T00000X
Psychologist
Primary
3820
AZ
103TS0200X
School Psychologist
AZ

Other

Enumeration date
11/13/2006
Last updated
09/01/2010
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