WENDY SHADE, LCDCIII, ICADC
Social Worker - Clinical
Active
Individual
NPI: 1619995511
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 21307 (OH) |
Frequently Asked Questions
NPI 1619995511 is the National Provider Identifier for WENDY SHADE, LCDCIII, ICADC, a Social Worker - Clinical provider located in Kettering, OH. This NPI was enumerated on July 18, 2006.
WENDY SHADE, LCDCIII, ICADC practices at 3017 GLENMERE CT, Kettering, OH 45440.
Quick Facts
- NPI
- 1619995511
- Type
- Individual
- Enumerated
- Jul 18, 2006
- Last Updated
- Jun 15, 2009
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