Robert Wade LCSW

NPI 1699849737 - Social Worker - 1041C0700X

NPI Details
NPI 1699849737
Gender Male
Enumeration Date 11/20/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
365 MONTAUK AVE
NEW LONDON CT, 06320-4700, US
Phone (860) 444-5125
Fax (860) 444-4767
Business Location
365 MONTAUK AVE
NEW LONDON CT, 06320-4700, US
Phone (860) 444-5125
Fax (860) 444-4767
Toxanomy
Taxonomy Code 1041C0700X
License State Connecticut
License Number 196
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According to our database, Robert Wade LCSW NPI is 1699849737, taxonomy code is 1041C0700X and license number is 196, license state is located at Connecticut. Robert Wade LCSW physically located at 365 Montauk Ave, New London CT, 06320-4700. NPI Number Robert Wade LCSW has the Individual type.

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1699849737 NPI number is provided on an as is basis without warranty of any kind. 1699849737 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Wade LCSW are for informational purposes only.