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General NPI Number Information
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NPI Number | 1609163021
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Entity Type | Individual
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Provider Name | WENDY JEAN CARTER CSW
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Gender | Female
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Dates
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Enumeration Date | 07/06/2011
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 1519 E BOULDER ST # D1
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5663
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Country | US
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Telephone | 719-331-3721
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Fax |
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Provider Business Mailing Address
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Address Line | 704 N INSTITUTE ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-2853
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Country | US
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Telephone | 719-331-3721
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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 | CSW.09923190
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License Number State | CO
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