Individual
HEATHER JADE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
979 E 3RD ST STE B1010, CHATTANOOGA, TN 37403
(423) 778-2965
(423) 778-2966
Mailing address
979 E 3RD ST STE B1010, CHATTANOOGA, TN 37403-2136
(423) 778-2965
(423) 778-2966
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6839
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P620330875530
DRIVER'S LICENSE
FL
Enumeration date
02/29/2016
Last updated
08/17/2018
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