Individual
MARCIA WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 N WOODLAND BLVD, SUIT, DELAND, FL 32720-4217
(386) 734-6555
Mailing address
1181/2 N WOODLAN BLVD, SUIT 2, DELAN, FL 32720
(386) 734-6555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/16/2013
Last updated
06/21/2013
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