Individual
SHELLEAN A WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 HARLEM RD, WEST SENECA, NY 14224-1008
(716) 821-0391
(716) 828-1009
Mailing address
920 HARLEM RD, WEST SENECA, NY 14224-1008
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
NY
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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