KENNY WAYNE WIGGINS

FORT MOORE, GA
NPI1144495912
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: GA  MFT 00931)
Enumeration Date2008-04-23
Last Update Date2023-09-22
Business Address
KENNY WAYNE WIGGINS LMFT
7970 MARTIN LOOP BLDG 9204
FORT MOORE, GA 31905-5623
Phone number: 706-545-9449
Mailing Address
KENNY WAYNE WIGGINS LMFT
1006 DENHAM DR
AMERICUS, GA 31709-4312
Phone number: 229-942-7785