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NPI Code Detail

MEDICARE: YVETTE W WRIGHT LCSW

MEDICARE: YVETTE W WRIGHT LCSW
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 Worker0904007752VA

General Provider Information

NPI Number : 1437420288
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVETTE W WRIGHT LCSW
Provider Business Mailing Address
First Line : 7460 CENTRAL BUSINESS PARK DR
Second Line :
City : NORFOLK
State : VA
Zip : 23513-2818
Country : US
Telephone Number : 757-406-7078
Fax Number :
Provider Business Practice Location Address
First Line : 7460 CENTRAL BUSINESS PARK DR
Second Line :
City : NORFOLK
State : VA
Zip : 23513-2818
Country : US
Telephone Number : 757-409-7078
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2012
Last Update Date : 01/24/2012

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Directions to “ YVETTE W WRIGHT LCSW” Practice Location

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