Individual
MRS. ANGIE THOMAS WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2204 COURTNEY DR, LAGRANGE, KY 40031-9129
(502) 222-0243
(502) 225-4907
Mailing address
2204 COURTNEY DR, LAGRANGE, KY 40031-9129
(502) 222-0243
(502) 225-4907
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1491
KY
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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