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1861847675
JONATHAN WAYNE WIGGINS
SHREVEPORT, LA
NPI
1861847675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 2489)
Enumeration Date
2016-04-29
Last Update Date
2022-04-26
Business Address
Mr. JONATHAN WAYNE WIGGINS LPC
1006 HIGHLAND AVENUE
SHREVEPORT, LA 71101
Phone number: 318-678-7537
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Mailing Address
Mr. JONATHAN WAYNE WIGGINS LPC
1006 HIGHLAND AVENUE
SHREVEPORT, LA 71101
Phone number: 318-678-7537
Copy
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