Duciaume-Wright, Colette Lynn

Duciaume-Wright, Colette Lynn is an sole proprietor health care provider with primary practice located at 2546 E Bitters Rd , San Antonio TX 78217-4448. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Duciaume-Wright, Colette Lynn can be contacted via phone (210) 822-6083.

Contact Information

Primary practice address
2546 E Bitters Rd San Antonio TX 78217-4448
Fax: (210) 637-6315
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 27472 Texas

Profile Details

NPI number 1790738201
LBN Legal business name Duciaume-Wright, Colette Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Feb 1st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790738201 NPPES
Texas Other 142309 VALUE OPTIONS - SOCIAL WO
Texas Other 00665E VALUE OPTIONS - SOCIAL WO
Texas MEDICAID 0639056-01 VALUE OPTIONS - SOCIAL WO

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