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Individual
SAMUEL CHRISTIAN WENSLEY
Active
Individual
SAMUEL CHRISTIAN WENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851115259
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6851115259
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
08/16/2022
Last updated
08/16/2022
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