NPI | 1972624971 |
---|---|
Other Name | DOUGLAS WENGER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2537) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09923897) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2024-08-07 |