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Individual

DR. KATHRYN TORBUSH WIGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
552 AGUA FRIA ST, SANTA FE, NM 87501-2508
(505) 982-3113
(505) 982-2462
Mailing address
1128 CIELO VISTA DEL SUR, CORRALES, NM 87048-8911
(505) 385-1394

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1249
NM
103TH0004X
Health Psychologist
1249
NM

Other

Enumeration date
12/26/2012
Last updated
04/02/2013
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