Individual
LACEY AMBER WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCPS
Contact information
Practice address
1374 ASTER AVE, AKRON, OH 44301-2116
(330) 234-7428
Mailing address
1374 ASTER AVE, AKRON, OH 44301-2116
(330) 234-7428
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1488
OH
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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