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Individual

THERESA C WADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
822 S THREE NOTCH ST, ANDALUSIA, AL 36420-5310
(334) 699-4007
Mailing address
1021 S COTTON ST, ANDALUSIA, AL 36420-4944
(334) 343-9679

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-532750
AL

Other

Enumeration date
04/30/2026
Last updated
04/30/2026
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