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Individual
DAWN L WEIDNER
Active
Individual
DAWN L WEIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
090683
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
23352
NY
1041C0700X
Clinical Social Worker
Primary
090683
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06469378
—
NY
Enumeration date
03/24/2021
Last updated
10/05/2025
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