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Organization

WIGS 4 KIDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAGGIE VARNEY (CEO)
(586) 772-6656
Entity
Organization

Contact information

Practice address
31235 HARPER AVE, SAINT CLAIR SHORES, MI 48082-1425
(586) 772-6656
(586) 772-6674
Mailing address
30126 HARPER AVE, SAINT CLAIR SHORES, MI 48082-1648
(586) 772-6656
(586) 772-6674

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
09/25/2012
Last updated
09/25/2012
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