Individual
MS. DWAN WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
6006 W. 158TH, OAK FORREST, IL 60452
(708) 535-0933
Mailing address
24306 S SHADY OAKS TRL, CRETE, IL 60417-2726
(708) 672-0954
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
217000162
IL
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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