Connie Wadham, LMT, LMSW

NPI 1700665254 · on the registry since 2023 · sole proprietor

Practice

Address: 3613 Williams Dr Ste 304
Georgetown, TX 78628
Phone: (512) 400-4247
Organisation at this address: Trauma Detox Pllc
Smartcare Of Texas
Tony Shallin, Mdpa
Reign Foundation Inc
Trusted Life Care, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 38

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Also registered as: 225700000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-09-25

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 Texas