Individual
CANDICE WIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 E BOGARD RD, WASILLA, AK 99654-4711
(907) 373-4732
Mailing address
7400 W RODNEY CIR, WASILLA, AK 99623-1935
(701) 500-0370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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