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Individual

JESSICA WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2632 E THOMAS RD STE 100, PHOENIX, AZ 85016-8220
(602) 957-2507
Mailing address
1210 E BETHANY HOME RD APT 210, PHOENIX, AZ 85014-2089
(717) 379-7025

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L12349
OR
1041C0700X
Clinical Social Worker
LCSW-18723
AZ

Other

Enumeration date
04/14/2021
Last updated
04/14/2021
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