Individual
MS. ANTOINETTE CHERYL WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
351 N NEW HAMPSHIRE AVE APT 503, ATLANTIC CITY, NJ 08401-2975
(917) 743-6760
Mailing address
351 N NEW HAMPSHIRE AVE APT 503, ATLANTIC CITY, NJ 08401-2975
(917) 743-6760
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
083349-01
NY
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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