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Individual

MS. GWENDOLYN FAYE HANIGAN BAILY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
8727 S PRIEST DR, SUITE 102, TEMPE, AZ 85284-1915
(480) 838-7273
(480) 704-0083
Mailing address
8727 S PRIEST DR, SUITE 102, TEMPE, AZ 85284-1915
(480) 838-7273
(480) 704-0083

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0511
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC0511
LICENSE
AZ
01
NCC28647
NATIONAL BOARD CERTIFIED
Enumeration date
02/06/2007
Last updated
08/21/2007
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