Individual
MALY INTHAVONGSA WRIGHTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
9550 US HIGHWAY 19 STE 202, PORT RICHEY, FL 34668-4648
(727) 494-7609
(727) 645-6997
Mailing address
9550 US HIGHWAY 19 STE 202, PORT RICHEY, FL 34668-4648
(727) 494-7609
(727) 645-6997
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/02/2013
Last updated
04/12/2018
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