Individual
DAWN MICHELLE WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7015 A C SKINNER PKWY BLDG 100, JACKSONVILLE, FL 32256-6932
(904) 516-3737
(904) 516-3738
Mailing address
7015 A C SKINNER PKWY STE 1, JACKSONVILLE, FL 32256-6932
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW14138
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JD160Z
MEDICARE
FL
Enumeration date
07/27/2017
Last updated
03/19/2018
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