Individual
MR. BOBBY JACK WADE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, MSW
Contact information
Practice address
1107 N STATE ST, GREENFIELD, IN 46140-1207
(317) 967-2180
(317) 477-1400
Mailing address
1107 N STATE ST, GREENFIELD, IN 46140-1207
(317) 967-2180
(317) 477-1400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33011854A
IN
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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