Individual
SHAWN ROBERT WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
467 N STATE ST, CARO, MI 48723-1539
(989) 673-5700
(989) 672-2017
Mailing address
443 N STATE ST, CARO, MI 48723-1539
(989) 672-6160
(989) 672-6272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1-04558
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750910964
BCBS
MI
Enumeration date
10/29/2008
Last updated
10/29/2008
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