Ebony Dechelle Wiggins
Ebony Dechelle Wiggins is a Peer Specialist in Salem, Oregon. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
681 Cottage St NESalem, OR 97301-2419
Phone: (336) 314-7105
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1124849971 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 23, 2024 |
| Last updated in NPPES | October 23, 2024 |
| Certification date | October 23, 2024 |
| Mailing address | 681 Cottage St Ne, Salem, OR 97301-2419 |
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