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General NPI Number Information
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NPI Number | 1437498987
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Entity Type | Individual
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Provider Name | HAZEL WENDY JAMIESON LCSW, LCADS, CSS
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Gender | Female
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Dates
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Enumeration Date | 02/04/2013
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Last Update Date | 03/23/2025
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Provider Practice Location Address
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Address Line | 86 WOOLSEY CT
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City | PENNINGTON
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State | NJ
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Zip | 08534-1428
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Country | US
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Telephone | 609-690-3407
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Fax | 844-222-5671
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Provider Business Mailing Address
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Address Line | PO BOX 392
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City | PENNINGTON
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State | NJ
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Zip | 08534-0392
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Country | US
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Telephone | 609-737-1115
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Fax | 609-730-9097
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 37LC00359800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05528000
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License Number State | NJ
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