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General NPI Number Information
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NPI Number | 1558796169
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Entity Type | Individual
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Provider Name | LAURA JEAN WRIGHT LICSW
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Gender | Female
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Dates
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Enumeration Date | 09/13/2013
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 2915 MCCARVER ST STE 200
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City | TACOMA
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State | WA
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Zip | 98403-3393
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Country | US
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Telephone | 970-819-5655
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 S OAKES ST
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City | TACOMA
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State | WA
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Zip | 98405-2758
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Country | US
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Telephone |
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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 | LW61454480
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License Number State | WA
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