MADONNA WALLACE

BATESVILLE, AR
NPI1861883159
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AR  A 1501018)
Enumeration Date2015-02-09
Last Update Date2015-02-09
Business Address
-- MADONNA WALLACE
25 GAP RD
BATESVILLE, AR 72501-8679
Phone number: 870-793-8900
Mailing Address
-- MADONNA WALLACE
25 GAP ROAD
BATESVILLE, AR 72501-2578
Phone number: 870-793-8900
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