Individual
TANIKA WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
134 OWENSVILLE RD, WEST RIVER, MD 20778-9702
(410) 867-4700
Mailing address
11307 GOLDEN EAGLE PL UNIT F, WALDORF, MD 20603-5985
(301) 537-8862
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20842
MD
Other
Enumeration date
07/19/2016
Last updated
06/26/2024
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