Individual
NANCY M WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
312 GRAMMONT ST, SUITE 303, MONROE, LA 71201-7457
(318) 322-0655
(318) 322-2006
Mailing address
312 GRAMMONT ST, SUITE 303, MONROE, LA 71201-7457
(318) 322-0655
(318) 322-2006
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1932
LA
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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