Individual
MS. KIMBERLY DAWN WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.N.S., CCC-SLP
Contact information
Practice address
29396 N 67TH AVE, PEORIA, AZ 85383-3012
(623) 251-7729
Mailing address
29396 N 67TH AVE, PEORIA, AZ 85383-3012
(623) 251-7729
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1795
AZ
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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