Ellen Agnes Wiggins, LCSW

NPI #1144337700 in Homewood, Illinois

Provider Information

NPI Number: 1144337700
Entity Type: Individual
Name: Ellen Agnes Wiggins, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 18154 MARTIN AVE
Address 2: SUITE 3
City: Homewood
State: Illinois
ZIP Code: 60430-2139
Phone: (708) 206-2755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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