Individual
ANDRENA ALLISON WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1801 E STATE ROUTE K, WEST PLAINS, MO 65775-6616
(888) 557-8262
Mailing address
500 SPRING CREEK RD, CLEVER, MO 65631-6472
(559) 719-9003
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
65836
CA
1041C0700X
Clinical Social Worker
Primary
65836
CA
Other
Enumeration date
03/11/2025
Last updated
04/23/2025
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