ELLEN AGNES WIGGINS

HOMEWOOD, IL
NPI1144337700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149-006766)
Enumeration Date2006-08-23
Last Update Date2007-07-08
Business Address
-- ELLEN AGNES WIGGINS LCSW
18154 MARTIN AVE SUITE 3
HOMEWOOD, IL 60430-2139
Phone number: 708-206-2755
Mailing Address
-- ELLEN AGNES WIGGINS LCSW
18154 MARTIN AVE SUITE 3
HOMEWOOD, IL 60430-2139
Phone number: 708-206-2755
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