Individual
MRS. MYLANE PERRY WIGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 MAIN ST, OXFORD, AL 36203-1255
(256) 310-8548
Mailing address
506 MAIN ST, OXFORD, AL 36203-1255
(256) 310-8548
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1620
AL
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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