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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1114374493 |
| LBN Legal business name | COLLEEN WRIGHT |
| Authorized official | COLLEEN WRIGHT - (LICENSED MENTAL HEALTH COUNSELOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/17/2016 |
| Last updated | 05/17/2016 - About 10 years ago |
| Identifiers | n/a |
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COLLEEN WRIGHT
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COLLEEN WRIGHT