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1508110800
LOLITA D WIGGS
MARTINEZ, GA
NPI
1508110800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC008158)
Enumeration Date
2012-11-08
Last Update Date
2014-12-30
Business Address
-- LOLITA D WIGGS MS, LPC
3711 EXECUTIVE CENTER DR SUITE 101
MARTINEZ, GA 30907-0951
Phone number: 706-210-8855
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Mailing Address
-- LOLITA D WIGGS MS, LPC
3711 EXECUTIVE CENTER DRIVE SUITE 101
MARTINEZ, GA 30907-0952
Phone number: 706-210-8855
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