Individual
MS. KARLA MARIE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
411 ALLUMBAUGH ST, BOISE, ID 83704-9210
(208) 338-4699
(208) 322-4722
Mailing address
411 ALLUMBAUGH ST, BOISE, ID 83704-9210
(208) 338-4699
(208) 322-4722
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-3547
ID
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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