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Individual

MRS. CHRISTINA MICHELLE WADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6101 W CENTINELA AVE STE 380, CULVER CITY, CA 90230-6367
(310) 337-7827
Mailing address
6101 W CENTINELA AVE STE 380, CULVER CITY, CA 90230-6367
(310) 337-7827

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103TC0700X
Clinical Psychologist
Primary
33530
CA

Other

Enumeration date
04/13/2009
Last updated
08/26/2022
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