Individual
PHOENICIA WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR, SUITE 201, SAINT LOUIS, MO 63146-3209
(314) 819-0480
Mailing address
461 CATALINA AVE, WEBSTER GROVES, MO 63119-3121
(518) 542-4329
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1028755
FL
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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