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Individual

JESSELYN MAY WINEGARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1010 LINCOLN HWY, WAPAKONETA, OH 45895-9347
(419) 738-3711
(419) 738-3701
Mailing address
1100 SHAWNEE RD, LIMA, OH 45805-3583
(419) 999-2010
(419) 999-6284

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1802465
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0314294
OH
Enumeration date
08/12/2018
Last updated
06/25/2020
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