Individual
STACEY WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 SPRING ST, RACINE, WI 53405-1620
(262) 314-4328
Mailing address
4000 SPRING ST, RACINE, WI 53405-1620
(262) 314-4328
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
166011999
IL
106H00000X
Marriage & Family Therapist
Primary
666
WI
106H00000X
Marriage & Family Therapist
Primary
666-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780707232
—
WI
05
—
40924700
—
WI
Enumeration date
04/09/2007
Last updated
02/26/2026
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