Individual
MACYE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(317) 247-8900
(317) 247-8935
Mailing address
907 COMB RUN LN, AVON, IN 46123-9787
(682) 225-4539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007199A
IN
Other
Enumeration date
06/23/2015
Last updated
07/10/2015
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