Individual
COLLINS WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
808 S. SECOND ST., MONROE, LA 71202
(318) 503-0410
Mailing address
808 S. SECOND ST., MONROE, LA 71202
(318) 503-0410
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
05/25/2018
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