Individual
CARTER T WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
12955 BISCAYNE BLVD STE 204, NORTH MIAMI, FL 33181-2021
(305) 895-3307
(305) 895-1737
Mailing address
12955 BISCAYNE BLVD STE 204, NORTH MIAMI, FL 33181-2021
(305) 895-3307
(305) 895-1737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW4348
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000109300
—
FL
01
—
Z7316
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/25/2006
Last updated
05/18/2020
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