Organization
HOLLY WADE LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY E WADE LCSW (MANAGING PARTNER)
(203) 918-0336
Entity
Organization
Contact information
Practice address
2201 DAYTON BLVD, CHATTANOOGA, TN 37415-6415
(203) 918-0336
Mailing address
151 INTEGRA VISTAS DR APT 306, HIXSON, TN 37343-5378
(203) 918-0336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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