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Individual
MR. DERRICK ANTHONY WRIGHT
Active
Individual
MR. DERRICK ANTHONY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150105283
IL
1041C0700X
Clinical Social Worker
Primary
122639
CA
1041C0700X
Clinical Social Worker
149025647
IL
1041C0700X
Clinical Social Worker
2023042348
MO
Other
Enumeration date
09/08/2021
Last updated
04/15/2026
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