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Organization
WHEELER WIGGINS, P.A.
Active
Organization
WHEELER WIGGINS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARTER TYRONE WIGGINS LCSW, SAP (PARTNER)
(305) 825-5698
Entity
Organization
Contact information
Practice address
4330 W BROWARD BLVD, SUITE R, PLANTATION, FL 33317-3775
(305) 825-5698
(305) 895-1737
Mailing address
1175 NE 125TH ST, SUITE 205, NORTH MIAMI, FL 33161-5015
(305) 825-5698
(305) 895-1737
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
80292
FL
1041C0700X
Clinical Social Worker
Primary
SW4348
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000109300
—
FL
Enumeration date
09/01/2010
Last updated
09/01/2010
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