Individual
DAMONIQUE MIRACLE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4664 LARWELL DR, COLUMBUS, OH 43220-3621
(614) 487-7805
(614) 487-7809
Mailing address
465 BROAD MEADOWS BLVD APT 202, COLUMBUS, OH 43214-1057
(380) 710-1493
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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