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1760040018
GWENDOLYN AUSTIN
TUCSON, AZ
NPI
1760040018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-16867)
Enumeration Date
2019-06-02
Last Update Date
2019-06-02
Business Address
GWENDOLYN AUSTIN LAC
2030 E BROADWAY BLVD
TUCSON, AZ 85719-5905
Phone number: 216-738-9255
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Mailing Address
GWENDOLYN AUSTIN LAC
102 HARDLEY ST
FORT HUACHUCA, AZ 85613-1135
Phone number:
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