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1104329259
IDA ROSE WADSWORTH
FORT PAYNE, AL
NPI
1104329259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: AL 3953)
Enumeration Date
2018-03-15
Last Update Date
2021-02-21
Business Address
IDA ROSE WADSWORTH LPC
206 4TH ST SW
FORT PAYNE, AL 35967-1851
Phone number: 256-304-5755
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Mailing Address
IDA ROSE WADSWORTH LPC
206 4TH ST SW
FORT PAYNE, AL 35967-1851
Phone number: 256-304-5755
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