Individual
KATHRYN ELIZABETH WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1430
(612) 871-1454
(612) 871-1505
Mailing address
310 CLIFTON AVE, MINNEAPOLIS, MN 55403-3218
(612) 710-8759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
09/06/2022
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