Individual
LORNA WIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
325 W 3RD ST, MOSCOW, ID 83843-2204
(208) 882-2566
(888) 972-5312
Mailing address
325 W 3RD ST, MOSCOW, ID 83843-2204
(208) 882-2566
(888) 972-5312
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
Primary
3171753
ID
Other
Enumeration date
01/16/2019
Last updated
03/11/2026
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