Individual
SUSAN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
151 S 4TH ST, GRAND FORKS, ND 58201-4715
(701) 395-7000
Mailing address
151 S 4TH ST, GRAND FORKS, ND 58201-4715
(701) 795-3000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6320
TN
Other
Enumeration date
11/17/2015
Last updated
08/08/2022
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