| Doctor Name: | MRS. MEREL IRENE WADE |
| NPI Number: | 1407148885 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 6801062423 |
| Business Practice Address: | 6330 Dexter St Romulus, MI - 481741832 |
| Business Phone Number: | 7345959105 |
| Business Fax Number: | 7345959107 |
| Mailing Address: | 6330 Dexter St., ROMULUS |
| State: | MI |
| Postal Code: | 48174 |
| Phone Number: | 7345959105 |
| Fax Number: | 7345959107 |
| NPI Enumeration Date: | 05/04/2011 |
| NPI Last Update Date: | 05/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 6801062423 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |