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1144337700
ELLEN AGNES WIGGINS
HOMEWOOD, IL
NPI
1144337700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-006766)
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
-- ELLEN AGNES WIGGINS LCSW
18154 MARTIN AVE SUITE 3
HOMEWOOD, IL 60430-2139
Phone number: 708-206-2755
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Mailing Address
-- ELLEN AGNES WIGGINS LCSW
18154 MARTIN AVE SUITE 3
HOMEWOOD, IL 60430-2139
Phone number: 708-206-2755
Copy
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