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NPI Code Detail

MEDICARE: LETITIA WRIGHT LBSW

MEDICARE: LETITIA WRIGHT LBSW
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
1104100000XSocial Worker6802085097MI

General Provider Information

NPI Number : 1083078794
Entity Type Code : Individual
Provider Name (Legal Business Name) : LETITIA WRIGHT LBSW
Provider Business Mailing Address
First Line : 9641 HARPER AVE
Second Line : SUITE 2
City : DETROIT
State : MI
Zip : 48213-2731
Country : US
Telephone Number : 313-961-7990
Fax Number :
Provider Business Practice Location Address
First Line : 9641 HARPER AVE
Second Line : #2
City : DETROIT
State : MI
Zip : 48213-2731
Country : US
Telephone Number : 313-961-7990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2016
Last Update Date : 04/08/2016

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Directions to “ LETITIA WRIGHT LBSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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