Individual
MRS. CARRIE L WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71328
(318) 473-0010
(318) 483-5064
Mailing address
165 HWY 1207, DEVILLE, LA 71328
(318) 715-5054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10326
LA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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