Individual
SHAELEINA RAE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 DUNBAR CAVE RD STE B, CLARKSVILLE, TN 37043-8862
(931) 538-3252
Mailing address
5275 DEVERS RD, SOUTHSIDE, TN 37171-9055
(931) 538-3252
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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