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Individual

DR. THERESA ROSE WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
3747 CHURCH RD, SUITE 100, MOUNT LAUREL, NJ 08054-1144
(609) 504-4118
Mailing address
45 SANDHURST DRIVE, MOUNT LAUREL, NJ 08054-1151
(609) 504-4118

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100409400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0050130
NJ
Enumeration date
12/11/2006
Last updated
07/08/2007
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