Individual
ELDRIA WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
839 MASSACHUSETTS ST, GARY, IN 46402-2524
(219) 719-2964
Mailing address
839 MASSACHUSETTS ST, GARY, IN 46402-2524
(219) 719-2964
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99094853A
IN
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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