Individual
CONICKA L WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LCAS
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2660
NC
1041C0700X
Clinical Social Worker
Primary
C009296
NC
Other
Enumeration date
12/27/2010
Last updated
11/27/2018
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