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General NPI Number Information
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NPI Number | 1447521869
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Entity Type | Individual
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Provider Name | WENDY LEE ALLEN LICSW
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Gender | Female
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Dates
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Enumeration Date | 01/17/2012
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 240 S MAIN ST
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City | WOLFEBORO
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State | NH
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Zip | 03894-4411
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Country | US
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Telephone | 603-515-2059
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Fax |
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Provider Business Mailing Address
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Address Line | 20 LEDGEVIEW DR
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City | ROCHESTER
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State | NH
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Zip | 03839-5619
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Country | US
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Telephone | 603-509-0019
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 116730
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License Number State | MA
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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 | LC16485
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1621
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License Number State | NH
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