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General NPI Number Information
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NPI Number | 1457886855
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Entity Type | Individual
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Provider Name | WENDY FLETCHER M.S. CCC-SLP, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 2007 S DOUGLAS HWY STE 140
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City | GILLETTE
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State | WY
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Zip | 82718-5400
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Country | US
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Telephone | 307-257-7395
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Fax | 307-316-7244
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Provider Business Mailing Address
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Address Line | 2007 S DOUGLAS HWY STE 140
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City | GILLETTE
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State | WY
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Zip | 82718-5400
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Country | US
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Telephone | 307-257-7395
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Fax | 307-316-7244
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | L-314690
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 205030
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP34964
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 078716
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP-1009
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License Number State | WY
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