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Individual
ILEEN MARIE WRIGHT
Active
Individual
ILEEN MARIE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
24
NC
364S00000X
Clinical Nurse Specialist
058907
MO
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
058907
MO
Other
Enumeration date
08/19/2006
Last updated
07/11/2007
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