Individual
KATHERINE RENEE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS
Contact information
Practice address
816 9TH AVE S, NAMPA, ID 83651-4542
(208) 830-3897
Mailing address
816 9TH AVE S, NAMPA, ID 83651-4542
(208) 830-3897
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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