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Individual
DESERAE TABIATHA WENK
Active
Individual
DESERAE TABIATHA WENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
107305
CA
Other
Enumeration date
01/27/2016
Last updated
04/15/2026
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