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General NPI Number Information
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NPI Number | 1861373896
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Entity Type | Individual
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Provider Name | SHAUNA WOLFERTS LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 1361 N 1075 W STE 9
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City | FARMINGTON
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State | UT
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Zip | 84025-2876
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Country | US
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Telephone | 801-655-5450
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Fax |
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Provider Business Mailing Address
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Address Line | 1433 N 1200 W
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City | OREM
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State | UT
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Zip | 84057-2449
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Country | US
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Telephone | 801-655-5450
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Fax | 385-225-9327
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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 | 13419922-3501
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License Number State | UT
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