Individual
MRS. MEREL IRENE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6330 DEXTER ST, ROMULUS, MI 48174-1832
(734) 595-9105
(734) 595-9107
Mailing address
6330 DEXTER ST., ROMULUS, MI 48174
(734) 595-9105
(734) 595-9107
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
6801062423
MI
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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