Individual
KIM A WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 S TREATY RD, MIAMI, OK 74354-5327
(918) 540-1511
(918) 542-7374
Mailing address
111 S TREATY RD, MIAMI, OK 74354-5327
(918) 540-1511
(918) 542-7374
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2000148148
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495752701
—
MO
05
—
755752706
—
MO
Enumeration date
12/06/2005
Last updated
10/22/2018
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