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General NPI Number Information
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NPI Number | 1346771318
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Entity Type | Individual
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Provider Name | EBONY TIARA WRIGHT MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 4000 FABER PLACE DR STE 300
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-8587
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Country | US
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Telephone | 843-781-1449
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Fax |
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Provider Business Mailing Address
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Address Line | 1985 RIVIERA DR STE 103
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City | MT PLEASANT
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State | SC
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Zip | 29464-7582
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Country | US
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Telephone | 843-781-1449
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C012383
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 13371
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License Number State | SC
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