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Individual
KRISTIN R WENUM
Active
Individual
KRISTIN R WENUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I.1700395
OH
1041C0700X
Clinical Social Worker
Primary
I.1700395-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0324784
—
OH
Enumeration date
11/13/2018
Last updated
04/23/2021
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