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Individual

MR. ANTHONY WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
429 WEST OHIO STREET, CHICAGO, IL 60654
(312) 339-0726
Mailing address
7427 SOUTH CHICAGO AVE, CHICAGO, IL 60619
(773) 407-6152

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
364183924
IL
Enumeration date
10/10/2016
Last updated
10/10/2016
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