Individual
AUSTIN CODY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2335 E STATE AVE, MERIDIAN, ID 83642-8808
(844) 249-4364
Mailing address
116 RIGHT FORK OF LYKINS CRK, PIKEVILLE, KY 41501-5627
(859) 533-0784
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
43543
ID
Other
Enumeration date
06/01/2022
Last updated
02/02/2024
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