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Individual

SHENEOI WINGARD-ARTIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2400 S RIDGEWOOD AVE, SUITE 32, SOUTH DAYTONA, FL 32119-3097
(386) 304-7600
Mailing address
2972 W COVINGTON DR, DELTONA, FL 32738-1613
(914) 441-8211

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
094153-1
NY

Other

Enumeration date
12/01/2015
Last updated
12/01/2015
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