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1639761919
ANITA L WIGFALL
SOUTH BEND, IN
NPI
1639761919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-02-08
Last Update Date
2021-02-08
Business Address
ANITA L WIGFALL
3220 E JEFFERSON BLVD
SOUTH BEND, IN 46615-3028
Phone number: 574-222-2466
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Mailing Address
ANITA L WIGFALL
25575 ROLLING HILLS DR
SOUTH BEND, IN 46628-9072
Phone number: 574-850-5766
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