Individual
NATHALIA ANDRADE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7715 NW 48TH ST, SUIT B360, DORAL, FL 33166-5455
(305) 846-9807
(305) 846-9711
Mailing address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3475
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT3475
LMFT
FL
Enumeration date
12/20/2011
Last updated
02/17/2020
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