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General NPI Number Information
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NPI Number | 1770727042
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Entity Type | Organization
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Legal Business Name | WENDI CASSAND, LCSW, CAP, LLC
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Dates
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Enumeration Date | 04/29/2009
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Last Update Date | 04/29/2009
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Provider Practice Location Address
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Address Line | 4821 NE 5TH TER SUITE A
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City | FORT LAUDERDALE
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State | FL
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Zip | 33334-2326
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Country | US
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Telephone | 954-650-1706
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Fax | 954-267-9567
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Provider Business Mailing Address
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Address Line | 4821 NE 5TH TER SUITE A
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City | FORT LAUDERDALE
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State | FL
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Zip | 33334-2326
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Country | US
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Telephone | 954-650-1706
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Fax | 954-267-9567
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Authorized Official
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Title or Position | PRESIDENT
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Name | WENDI LAUREN CASSAND
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Credential | LCSW, CAP, LLC
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Telephone | 954-650-1706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2428W
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License Number State | FL
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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 | SW6833
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License Number State | FL
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