Individual
QWANQUITA TERESSA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(706) 504-2225
Mailing address
8007 GRISSOM CRST, SAN ANTONIO, TX 78251-2858
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C010782
NC
Other
Enumeration date
05/22/2017
Last updated
02/28/2024
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