Most Relevant Information
Provider Data
| NPI Number: | 1003636424 |
| Provider Name: | KELLI A WADE MSW, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 44SC05480400 |
Most Important Dates
| Enumeration Date: | 10/10/2024 |
| Last Updated: | 10/10/2024 |
Provider Practice Location
PO BOX 5026
DEPTFORD
NJ
08096
Practice Location Phone/Fax
| Phone: | 8568166315 |
| Fax: |
Provider Mailing Location
PO BOX 5026
DEPTFORD
NJ
08096
Provider Mailing Phone/Fax
| Phone: | 8568166315 |
| Fax: |