Individual
JOHN WAIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LCSW
Contact information
Practice address
2323 21ST AVE S, SUITE 401, NASHVILLE, TN 37212-4930
(615) 400-5911
Mailing address
2323 21ST AVE S, SUITE 401, NASHVILLE, TN 37212-4930
(615) 400-5911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1057
TN
Other
Enumeration date
03/20/2006
Last updated
08/13/2010
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