Individual
DANCA A WINGATE GIDEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
800 ARCADIA DR NW STE C, HUNTSVILLE, AL 35801-5910
(256) 937-2525
Mailing address
103 MYSTIC WAY, MADISON, AL 35757-8818
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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