Individual
HOLLY LYNN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., P.L.P.C.
Contact information
Practice address
1119 S ELLIOT, AURORA, MO 65605
(417) 671-9856
Mailing address
1440 W RIVERSIDE, SPRINGFIELD, MO 65807-4667
(417) 882-0641
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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