Individual
MIA Y WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, LCSW
Contact information
Practice address
2011 COMMERCE DR N, PEACHTREE CITY, GA 30269-3538
(470) 483-6929
(866) 260-5504
Mailing address
7794 FLYAWAY RD, FAIRBURN, GA 30213-3511
(770) 875-5504
(866) 260-5504
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006385
GA
174H00000X
Health Educator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/12/2014
Last updated
12/12/2019
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