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Individual
WENDY VAUGHTER
Active
Individual
WENDY VAUGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA,LLMSW, DP-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851103737
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326707399
—
MI
05
—
1417419318
—
MI
05
—
84-3172033
—
MI
Enumeration date
04/01/2019
Last updated
06/12/2026
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