Individual
CAPREA SHELE WINGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
118 MEMORIAL AVE APT 14E, CUMBERLAND, MD 21502-4260
(410) 330-4819
Mailing address
118 MEMORIAL AVE APT 14E, CUMBERLAND, MD 21502-4260
(410) 330-4819
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MD
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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