Maxine Wiggan

NPI 1740677822 · on the registry since 2015 · sole proprietor

Practice

Address: 929 Gilmore Ave
Lakeland, FL 33801
Phone: (407) 575-5683
Organisation at this address: Inspire Targeted Case Management Agency Llc
Inspire Community Behavioral Health Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 171M00000X
171M00000X
Also registered as: 163WG0000X
104100000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-03-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida