Individual
ZACHARY WIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ANNA MARSH LN., BRATTLEBORO, VT 05301
(802) 258-4388
Mailing address
1 ANNA MARSH LN., BRATTLEBORO, VT 05301
(802) 258-4388
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0134287
VT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/04/2014
Last updated
05/23/2022
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