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General NPI Number Information
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NPI Number | 1447775416
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Entity Type | Individual
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Provider Name | WENDY L WILSON LCMFT
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Gender | Female
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Dates
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Enumeration Date | 08/10/2017
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 506 W SONGBIRD ST
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City | DERBY
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State | KS
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Zip | 67037-2500
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Country | US
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Telephone | 316-241-8651
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Fax | 316-242-2369
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Provider Business Mailing Address
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Address Line | 506 W SONGBIRD ST
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City | DERBY
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State | KS
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Zip | 67037-2500
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Country | US
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Telephone | 316-241-8651
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Fax | 316-242-2369
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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 | 03044
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License Number State | KS
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