Individual
DR. JENNIFER LYNN WIGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4500 PARK GLEN RD, SUITE 151, SAINT LOUIS PARK, MN 55416-4871
(612) 723-0460
(952) 928-9774
Mailing address
5352 12TH AVE S, MINNEAPOLIS, MN 55417-1837
(612) 723-0460
(952) 928-9774
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4489
MN
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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