Individual
ELYSA JOELLE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N 22ND ST, RICHMOND, VA 23223-7020
(804) 644-9590
Mailing address
200 N 22ND ST, RICHMOND, VA 23223-7020
(804) 644-9590
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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