Individual
MARGARET DIANE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
323 DELMAR DR N, KEIZER, OR 97303-6015
(503) 463-0499
Mailing address
323 DELMAR DR N, KEIZER, OR 97303-6015
(503) 463-0499
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4031
OR
Other
Enumeration date
07/15/2007
Last updated
07/15/2007
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