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Individual
WENDY C JOLLES
Active
Individual
WENDY C JOLLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110812
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7456316
AETNA ID NUMBER
MA
01
—
P07967
BCBS ID NUMBER
MA
Enumeration date
10/25/2005
Last updated
07/13/2026
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