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1598505513
MICHELLE WISE GENDUSA
FAYETTEVILLE, AR
NPI
1598505513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: AR 22926-C)
Enumeration Date
2024-05-28
Last Update Date
2024-05-28
Business Address
MICHELLE WISE GENDUSA LCSW
3546 W GREYSTONE DR.
FAYETTEVILLE, AR 72764
Phone number: 509-434-6386
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Mailing Address
MICHELLE WISE GENDUSA LCSW
306 W THURMAN ST
PRAIRIE GROVE, AR 72753-3117
Phone number: 509-434-6386
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