Individual
DAWNAR WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1894 LUDOVIE LN, DECATUR, GA 30033-1044
(678) 626-0557
(678) 288-7932
Mailing address
1894 LUDOVIE LN, DECATUR, GA 30033-1044
(678) 626-0557
(678) 288-7932
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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