Individual
SOPHIA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CARRICK CT, MOUNT JULIET, TN 37122-8328
(505) 688-0093
Mailing address
100 CARRICK CT, MOUNT JULIET, TN 37122-8328
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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