Individual
KATHY MACHELLE WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 E THOMAS RD, PHOENIX, AZ 85012-3202
(336) 314-7105
(803) 753-9196
Mailing address
314 E THOMAS RD, PHOENIX, AZ 85012-3202
(336) 314-7105
(803) 753-9196
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
10/23/2024
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