JOHN CLAY WIGGINS

HONOLULU, HI
NPI1982789004
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: HI  LSW979)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: HI  LCSW3143)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
-- JOHN CLAY WIGGINS
1374 NUUANU AVE
HONOLULU, HI 96817-4032
Phone number: 808-547-4401
Mailing Address
-- JOHN CLAY WIGGINS
PO BOX 29640
HONOLULU, HI 96820-2040
Phone number: