Individual
ALCIONE V WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 PRATT RD, KALAMAZOO, MI 49001-5323
(269) 366-4880
(269) 366-4880
Mailing address
204 PRATT RD, KALAMAZOO, MI 49001-5323
(269) 366-4880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801086432
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
801886552
LARA ENTITY #
MI
Enumeration date
06/27/2021
Last updated
06/27/2021
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