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Individual

MRS. ERICA WIGGINS ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9041 MORAY DR, SHREVEPORT, LA 71129-5127
(318) 230-1184
Mailing address
9041 MORAY DR, SHREVEPORT, LA 71129-5127
(318) 230-1184

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
Primary
LA

Other

Enumeration date
10/10/2017
Last updated
12/20/2018
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