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General NPI Number Information
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NPI Number | 1487257077
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Entity Type | Organization
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Legal Business Name | KECIA WRIGHT COUNSELING AND COACHING
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 2670 CRAIN HWY STE 510
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City | WALDORF
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State | MD
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Zip | 20601-2819
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Country | US
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Telephone | 240-216-2713
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 TWINBROOK DR
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City | WALDORF
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State | MD
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Zip | 20603-4087
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Country | US
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Telephone | 240-216-2713
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KECIA WRIGHT
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Credential |
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Telephone | 240-216-2713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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