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Individual

MISS CHERYL ANN WADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CRC, LLPC

Contact information

Practice address
1712 E MICHIGAN AVE., LANSING, MI 48912
(517) 574-6898
Mailing address
1712 E MICHIGAN AVE., LANSING, MI 48912
(517) 574-6898

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013570
MI

Other

Enumeration date
04/20/2015
Last updated
04/20/2015
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