Individual
FREDRIQUIA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 MILLCREEK CORS, BRANDON, MS 39047-9011
(769) 251-5989
Mailing address
363 DR R B HARRIS DR, CANTON, MS 39046-4103
(769) 798-7474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW03023
RI
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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