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Search › Tennessee › 175T00000X

Autum Wade

NPI 1063155364 · on the registry since 2022

Practice

Address
102 N Broadway St
Johnson City, TN 37601
Phone
(423) 588-9988
Organisation at this address
Dragfonfly Wellness Center
Dragonfly Medical And Behavioral Health Professsional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-04-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee