Individual
KASEY NOELLE WIGGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LSSW
Contact information
Practice address
136 S 9TH ST STE 206, NOBLESVILLE, IN 46060-2600
(317) 447-4788
Mailing address
5731 CASTLE HILL DR APT 726, INDIANAPOLIS, IN 46250-5605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
99107579A
IN
Other
Enumeration date
12/04/2021
Last updated
12/04/2021
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