Individual
SARAH WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4955 ASPEN TRL NW, ACWORTH, GA 30101-7370
(404) 357-1060
Mailing address
4955 ASPEN TRL NW, ACWORTH, GA 30101-7370
(404) 357-1060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CSW007587
GA
Other
Enumeration date
12/12/2016
Last updated
05/17/2021
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