Organization
MICHELLE WADE
Active
Other names
Michelle Wade
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WADE LCSW (PSYCHOTHERAPIST)
(845) 419-1563
Entity
Organization
Contact information
Practice address
17 GRAND ST APT 2, NEWBURGH, NY 12550-7629
(845) 419-1563
Mailing address
17 GRAND ST, NEWBURGH, NY 12550-7628
(914) 382-6895
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
08/30/2023
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