Individual
ANGELA MARIE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2850 UNIVERSAL ST, OSHKOSH, WI 54904-8975
(920) 267-8350
Mailing address
2850 UNIVERSAL ST, OSHKOSH, WI 54904-8975
(920) 267-8350
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7-140
WI
Other
Enumeration date
06/29/2007
Last updated
02/23/2021
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