Individual
DARLA WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3405 S. HAMMONS BLVD., JOPLIN, MO 64804
(417) 319-4388
Mailing address
3405 S. HAMMONS BLVD., JOPLIN, MO 64804
(417) 319-4388
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2014012320
MO
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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