Individual
MS. AMIA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 DUNBAR ST, GRAMBLING, LA 71245-2206
(318) 341-7615
Mailing address
140 DUNBAR ST, GRAMBLING, LA 71245-2206
(318) 341-7615
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
05/20/2016
Last updated
09/16/2019
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