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Individual

STEPHEN LANCE WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
312 E GEORGIA ST, TALLAHASSEE, FL 32301-1250
(850) 222-3045
(850) 521-3422
Mailing address
312 E GEORGIA ST, TALLAHASSEE, FL 32301-1250
(850) 222-3045
(850) 521-3422

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY0004349
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
73636
BCBS
FL
Enumeration date
08/11/2006
Last updated
08/15/2008
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