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General NPI Number Information
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NPI Number | 1063307296
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Entity Type | Organization
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Legal Business Name | WENDY GAYLORD, LCSW
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 326 HIGHWAY 133 STE 190H
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City | CARBONDALE
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State | CO
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Zip | 81623-2510
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Country | US
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Telephone | 720-357-4448
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Fax |
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Provider Business Mailing Address
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Address Line | 166 MIDLAND POINT RD
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City | CARBONDALE
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State | CO
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Zip | 81623-2311
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Country | US
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Telephone | 720-357-4448
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | WENDY GAYLORD
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Credential | LCSW
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Telephone | 720-357-4448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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