Lisa Wade

NPI 1124265186 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1124265186
Gender Female
Enumeration Date 01/13/2009
Last Updated 01/13/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
136 ROTUNDA DR
JUPITER FL, 33477-7304, US
Phone (917) 626-6399
Fax (407) 842-7921
Business Location
136 ROTUNDA DR
JUPITER FL, 33477-7304, US
Phone (917) 626-6399
Fax (407) 842-7921
Toxanomy
Taxonomy Code 103K00000X
License State
License Number
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According to our database, Mrs. Lisa Wade NPI is 1124265186, taxonomy code is 103K00000X Lisa Wade physically located at 136 Rotunda Dr, Jupiter FL, 33477-7304. NPI Number Lisa Wade has the Individual type.

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1124265186 NPI number is provided on an as is basis without warranty of any kind. 1124265186 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Wade are for informational purposes only.