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1235208612
GAIL L UNGEMACH
RUSSELLVILLE, AR
NPI
1235208612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AR 1137)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
-- GAIL L UNGEMACH CADC
1400 E 16TH ST
RUSSELLVILLE, AR 72801
Phone number: 479-970-3248
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Mailing Address
-- GAIL L UNGEMACH CADC
350 SALEM ROAD SUITE 1
CONWAY, AR 72034
Phone number: 501-336-8300
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