Individual
PORTIA D WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9630 SCIPIO LN, MYRTLE BEACH, SC 29588
(843) 492-2795
Mailing address
3025 REGENCY OAKS DR, MYRTLE BEACH, SC 29579-5315
(301) 455-4648
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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