Individual
ZACHARY WIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
—
—
Other
Enumeration date
09/04/2014
Last updated
05/23/2022
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