Individual
MS. MALLENE PEACE WIGGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
THE LISTENING CENTER AT JOHNS HOPKINS, 601 N. CAROLINE ST. SUITE 6102, BALTIMORE, MD 21287-0001
(410) 955-9397
(410) 614-9167
Mailing address
THE LISTENING CENTER AT JOHNS HOPKINS, 601 N. CAROLINE ST. SUITE 6102, BALTIMORE, MD 21287-0001
(410) 955-9397
(410) 614-9167
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-8903 (4645883)
OH
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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