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Contact Information

DESTINY WADE
4115 WILLIAM PENN HWY
MURRYSVILLE, PA15668-1887
 Phone: 724-733-3491
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Technician/Technologist

156F00000X
Indicates primary specialty

NPI Profile & details for DESTINY WADE · (Female)

NPI Number 1194571786
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2024
Last updated 05/16/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • PA License # SW142698
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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