TIFFANY PATRICE WIGGINS

CHICAGO, IL
NPI1174911226
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: IL  25281581837w)
Enumeration Date2014-12-23
Last Update Date2022-01-03
Business Address
TIFFANY PATRICE WIGGINS
335 S LEAVITT ST
CHICAGO, IL 60612-3040
Phone number: 773-816-3304
Mailing Address
TIFFANY PATRICE WIGGINS
335 S LEAVITT ST
CHICAGO, IL 60612-3040
Phone number: 773-816-3304