Individual
MARY KEZIAH WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
17505 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769-3930
(225) 692-4113
Mailing address
1321 BRIARHURST DR, BATON ROUGE, LA 70810-5179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC8732
LA
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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