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Individual
WENDY R MOONEY
Active
Individual
WENDY R MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007192
CT
1041C0700X
Clinical Social Worker
078043
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007192
LCSW
CT
01
—
078043
LCSW
NY
Enumeration date
10/22/2007
Last updated
04/09/2014
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