Individual
ABBY E WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2001 NE PARVIN RD, KANSAS CITY, MO 64116-2446
(816) 587-4100
Mailing address
6606 S ELM ST, PLEASANT VALLEY, MO 64068-9590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019030044
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019030044
STATE LICENSE
MO
Enumeration date
08/13/2019
Last updated
08/13/2019
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