Individual
MILLIE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9400 LEBANON RD, EAST SAINT LOUIS, IL 62203-2214
(618) 397-0968
Mailing address
448 WYLIE DR, NORMAL, IL 61761-5405
(618) 512-1803
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.109481
IL
Other
Enumeration date
01/18/2023
Last updated
09/22/2023
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