Provider Demographics
NPI:1427439066
Name:WRIGHT, JAMIA (BS)
Entity type:Individual
Prefix:
First Name:JAMIA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14680 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7443
Mailing Address - Country:US
Mailing Address - Phone:786-800-0894
Mailing Address - Fax:305-954-5301
Practice Address - Street 1:14680 HARRISON ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-7443
Practice Address - Country:US
Practice Address - Phone:786-800-0894
Practice Address - Fax:305-954-5301
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker