Individual
CARRIE WIGGINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4645 AVON LN STE 255, FRISCO, TX 75033-1212
(469) 592-7087
Mailing address
260 EVENING SUN DR, PROSPER, TX 75078-0438
(270) 316-0121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
3314
KY
1041C0700X
Clinical Social Worker
Primary
62710
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100288560
—
KY
Enumeration date
04/13/2010
Last updated
06/16/2024
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