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NPI Code Detail

MEDICARE: MARLENE GISELLE WRIGHT LMSW

MEDICARE: MARLENE GISELLE WRIGHT LMSW
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 Worker2339KS

General Provider Information

NPI Number : 1598989584
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLENE GISELLE WRIGHT LMSW
Provider Business Mailing Address
First Line : 6000 LAMAR AVE
Second Line : STE 130
City : MISSION
State : KS
Zip : 66202-3234
Country : US
Telephone Number : 913-831-2550
Fax Number : 913-826-1589
Provider Business Practice Location Address
First Line : 310 N MONROE ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-3110
Country : US
Telephone Number : 913-782-0283
Fax Number : 913-826-1589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 07/08/2007

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Directions to “ MARLENE GISELLE WRIGHT LMSW” Practice Location

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