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Individual

ALLISON N WADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
20A BUSINESS TER, HYDE PARK, MA 02136-2158
(617) 910-9774
Mailing address
20A BUSINESS TER, HYDE PARK, MA 02136-2158
(617) 910-9774

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114102
MA
1041S0200X
School Social Worker
114102
MA

Other

Enumeration date
08/17/2007
Last updated
08/17/2007
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