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Individual
MS. SUSAN MARIE WENDELBORG
Active
Individual
MS. SUSAN MARIE WENDELBORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.008435
IL
1041C0700X
Clinical Social Worker
Primary
L5896
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1627533
BCBS
IL
Enumeration date
11/17/2006
Last updated
11/13/2015
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