Provider Demographics
NPI:1538176284
Name:WRIGHT, DIANNE E (MSA LBSW CACII CEAP)
Entity type:Individual
Prefix:MS
First Name:DIANNE
Middle Name:E
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MSA LBSW CACII CEAP
Other - Prefix:
Other - First Name:DIANNE
Other - Middle Name:E
Other - Last Name:SUTTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3600 SO DORT HWY
Mailing Address - Street 2:SUITE 44
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507
Mailing Address - Country:US
Mailing Address - Phone:810-744-3300
Mailing Address - Fax:810-744-1090
Practice Address - Street 1:3600 SO DORT HWY
Practice Address - Street 2:SUITE 44
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507
Practice Address - Country:US
Practice Address - Phone:810-744-3300
Practice Address - Fax:810-744-1090
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISW6802002047104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker