Individual
PATRICK E WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
4791 ESSEN COURT, LAS VEGAS, NV 89147
(347) 439-6195
Mailing address
4791 ESSEN COURT, LAS VEGAS, NV 89147
(347) 439-6195
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6015-N
NV
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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