Provider Information for 1346771318
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EBONY TIARA WRIGHT MSW, LCSW
Sex: Female
NPI: 1346771318
Last Updated: 2024-08-02
Certification Date: 2024-08-02
Certification Date: 2024-08-02
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1346771318 | ||||||||||||
| Enumeration Date | 2017-03-22 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1985 RIVIERA DR STE 103 MT PLEASANT, SC 29464-7582 United States Phone: 843-781-1449 | Fax: | ||||||||||||
| Primary Practice Address | 1985 RIVIERA DR STE 103 MT PLEASANT, SC 29464-7582 United States Phone: 843-781-1449 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 215 E BAY ST STE 404 | ||||||||||||
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