Individual
MISS MAREDITH LEANN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE
Contact information
Practice address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(573) 756-5353
(573) 756-4559
Mailing address
1430 OLIVE ST, SUITE 400, SAINT LOUIS, MO 63103-2303
(573) 747-2437
(573) 756-4557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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