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Individual
GWENDOLYN PHOEBE ALLEN
Active
Individual
GWENDOLYN PHOEBE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
079051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079051
THE STATE EDUCATION DEPARTMENT DIVISION OF PROFESSIONAL LICENSING SERVICES
NY
Enumeration date
02/07/2018
Last updated
03/17/2018
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