Individual
DORIAN L WINGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPA
Contact information
Practice address
4021 GALLATIN DR, OBETZ, OH 43207-4387
(614) 439-2808
Mailing address
4021 GALLATIN DR, OBETZ, OH 43207-4387
(614) 439-2808
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
OH
172V00000X
Community Health Worker
—
OH
251300000X
Local Education Agency (LEA)
—
—
251K00000X
Public Health or Welfare Agency
—
—
261QB0400X
Birthing Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790272953
—
OH
Enumeration date
04/13/2018
Last updated
04/13/2018
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