Provider Demographics
NPI:1407274731
Name:WRIGHT, TAMARA JEAN (MSW)
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:JEAN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E CLAY AVE # 201
Mailing Address - Street 2:PO BOX 905
Mailing Address - City:CHEWELAH
Mailing Address - State:WA
Mailing Address - Zip Code:99109-8936
Mailing Address - Country:US
Mailing Address - Phone:509-935-4808
Mailing Address - Fax:509-935-4897
Practice Address - Street 1:301 E CLAY AVE # 201
Practice Address - Street 2:
Practice Address - City:CHEWELAH
Practice Address - State:WA
Practice Address - Zip Code:99109-8936
Practice Address - Country:US
Practice Address - Phone:509-935-4808
Practice Address - Fax:509-935-4897
Is Sole Proprietor?:No
Enumeration Date:2014-04-03
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68020880671041C0700X
WACG60572595101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical