GWENDOLYN AUSTIN

TUCSON, AZ
NPI1760040018
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LAC-16867)
Enumeration Date2019-06-02
Last Update Date2019-06-02
Business Address
GWENDOLYN AUSTIN LAC
2030 E BROADWAY BLVD
TUCSON, AZ 85719-5905
Phone number: 216-738-9255
Mailing Address
GWENDOLYN AUSTIN LAC
102 HARDLEY ST
FORT HUACHUCA, AZ 85613-1135
Phone number: