Individual
CAROLYN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2631 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 856-0856
(866) 981-1874
Mailing address
2631 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 856-0856
(866) 981-1874
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006047A
IN
Other
Enumeration date
08/12/2013
Last updated
01/15/2025
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