Individual
MIRANDA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
66 POWERS DR, MIDWAY, GA 31320-7143
(912) 996-3194
Mailing address
66 POWERS DR, MIDWAY, GA 31320-7143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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