Individual
BARBARA ANN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3105 S FORBES RD, DOVER, FL 33527-5414
(813) 754-1855
Mailing address
3105 S FORBES RD, DOVER, FL 33527-5414
(813) 754-1855
(813) 754-1855
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230082600
—
FL
Enumeration date
04/22/2008
Last updated
04/22/2008
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