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1124663000
JATAYA WRIGHT
STONY BROOK, NY
NPI
1124663000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 086864)
Enumeration Date
2019-11-14
Last Update Date
2020-07-17
Business Address
JATAYA WRIGHT LCSW
100 NICOLLS ROAD
STONY BROOK, NY 11794
Phone number: 631-504-0109
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Mailing Address
JATAYA WRIGHT LCSW
PO BOX 125
SHIRLEY, NY 11967-0125
Phone number:
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