Individual
GINA MARIE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1601 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-7410
Mailing address
88 HARRIS NORMAN BLVD, ALLENHURST, GA 31301-3601
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
34005187A
IN
1041C0700X
Clinical Social Worker
Primary
34005187A
IN
Other
Enumeration date
07/26/2006
Last updated
12/20/2023
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