Individual
JESSICA LEIGH WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
3609 ANTLER CIR, DENTON, TX 76208-3431
(469) 585-1848
Mailing address
3609 ANTLER CIR, DENTON, TX 76208-3431
(469) 585-1848
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
76989
TX
101YS0200X
School Counselor
—
TX
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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