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NPI Code Detail

MEDICARE: MARY K WRIGHT LISW-S

MEDICARE:   MARY K WRIGHT  LISW-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI0009736OH
21041C0700XClinical Social WorkerI-0009736-SOH

General Provider Information

NPI Number : 1083761597
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY K WRIGHT LISW-S
Provider Business Mailing Address
First Line : 623 PARK MEADOW RD STE H
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-2876
Country : US
Telephone Number : 614-774-1120
Fax Number : 855-740-2025
Provider Business Practice Location Address
First Line : 623 PARK MEADOW RD STE H
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-2876
Country : US
Telephone Number : 614-948-3273
Fax Number : 855-740-2025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 06/22/2023

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Directions to “ MARY K WRIGHT LISW-S” Practice Location

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