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Individual

MS. BEVERLY JEANNE WRIGHT

Active
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Individual

MS. BEVERLY JEANNE WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, CASAC, CEAP

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
029334.1
NY
1041C0700X
Clinical Social Worker
R029334-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0055762/002
GHI
NY
01
092031
VALUE OPTIONS
NY
01
107927
MHN
NY
Enumeration date
08/26/2006
Last updated
05/05/2022
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