Provider Demographics
NPI:1588102248
Name:WRIGHT, DEBRA SUSAN (LMSW, CAADC, CCS)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:SUSAN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LMSW, CAADC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3425 FRANCIS ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49203-5052
Mailing Address - Country:US
Mailing Address - Phone:517-782-2551
Mailing Address - Fax:
Practice Address - Street 1:3425 FRANCIS ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203-5052
Practice Address - Country:US
Practice Address - Phone:517-782-2551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-02
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010975581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical