Individual
MISS SHADDAI WIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
372 RACETRACK RD, MCDONOUGH, GA 30252-1022
(678) 272-7333
Mailing address
935 CITY PARK DR, MCDONOUGH, GA 30252-1026
(770) 841-3057
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/27/2013
Last updated
03/20/2020
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