Individual
ZACHARY WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27710 CORDOBA APT 2206, FARMINGTON HILLS, MI 48334-3968
(269) 290-4501
Mailing address
27710 CORDOBA APT 2206, FARMINGTON HILLS, MI 48334-3968
(269) 290-4501
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009828
MI
103TC1900X
Counseling Psychologist
6362009828
MI
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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