MICHELLE WISE GENDUSA

FAYETTEVILLE, AR
NPI1598505513
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AR  22926-c)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: WA  LW60479720)
Enumeration Date2024-05-28
Last Update Date2025-01-26
Business Address
MICHELLE WISE GENDUSA LICSW
3546 W GREYSTONE DR.
FAYETTEVILLE, AR 72764
Phone number: 509-434-6386
Mailing Address
MICHELLE WISE GENDUSA LICSW
3546 E GREYSTONE DR
FAYETTEVILLE, AR 72764-6860
Phone number: 870-230-0238