Individual
ALARIS WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 542-5162
Mailing address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 542-5162
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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