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Individual

DAVID W WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MWS, LICSW

Contact information

Practice address
610 FLORENCE AVE, OWATONNA, MN 55060-4704
(507) 451-2630
(507) 455-8133
Mailing address
610 FLORENCE AVE, OWATONNA, MN 55060-4704

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
03963
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
031L2WR
BLUE CROSS BLUE SHIELD
MN
01
143352
UCARE
MN
01
62-75432
UNITED BEHAVIORAL HEALTH
MN
01
HP37566
HEALTH PARTNERS
MN
Enumeration date
10/13/2006
Last updated
09/05/2007
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