Individual
LORETTA WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(313) 824-5634
Mailing address
1079 VILLA PARK DR, TROY, MI 48085-1368
(586) 241-1639
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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