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Mr. Dennis Ray Wade I
Peer Specialist in Orangeburg, South Carolina
NPI 1053172064

Dennis Ray Wade I is a Peer Specialist based in Orangeburg, SC. Dennis Ray Wade I practices in Orangeburg, SC. The NPI Number for Dennis Ray Wade I is 1053172064 and holds a License No. (South Carolina).

The current practice location address for Dennis Ray Wade I is 2319 Saint Matthews Rd, Orangeburg, SC and can be reached out via phone at 803-536-1571.

Location: 2319 Saint Matthews Rd, Orangeburg, SC, 29118-2042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053172064
Provider Name
Dennis Ray Wade I
Credential
Provider Entity Type
Individual
Gender
Male
Address
2319 Saint Matthews Rd, Orangeburg, SC, 29118-2042
Phone Number
803-536-1571
Fax Number
Provider Enumeration Date
01/17/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2319 Saint Matthews Rd
City
Orangeburg
State
South Carolina
Zip
29118-2042
Phone Number
803-536-1571
Fax Number
person
Provider Business Mailing Address Details
Address
2319 Saint Matthews Rd
City
Orangeburg
State
South Carolina
Zip
29118-2042
Phone Number
803-536-1571
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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