Individual
KRISTEN WREN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3358 S 2ND ST STE A-C, CABOT, AR 72023-7873
(501) 286-6053
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72405-7870
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13112-M
AR
1041C0700X
Clinical Social Worker
106169
NY
Other
Enumeration date
02/12/2020
Last updated
12/20/2023
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