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Individual
JENNIFER DANA WHALEY GUNDERSEN
Active
Individual
JENNIFER DANA WHALEY GUNDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CASAC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
077561
NY
1041C0700X
Clinical Social Worker
Primary
079761-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01781144
—
NY
Enumeration date
01/12/2009
Last updated
04/02/2020
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