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Individual
WENDY PHAM
Active
Individual
WENDY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, PPS
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
77963
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101Y00000X
BEHAVIORAL HEALTH & SOCIAL SERVICES PROVIDERS
CA
Enumeration date
03/08/2011
Last updated
03/21/2024
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