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Individual

JACK WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
235 S EL DORADO CIR, MESA, AZ 85202-1044
(480) 968-2995
Mailing address
864 W 11TH PL, MESA, AZ 85201-3116
(480) 521-1212

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
12/22/2016
Last updated
12/22/2016
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