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Individual

MARLENE WADLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
5114 PARK RD, LAVACA, AR 72941-6085
(661) 210-6924
Mailing address
5114 PARK RD, LAVACA, AR 72941-6085
(661) 210-6924

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2503016
AR
103TC1900X
Counseling Psychologist

Other

Enumeration date
11/27/2023
Last updated
04/09/2025
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