Individual
ROBERT K WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1111 W IRONWOOD DR STE B, COEUR D ALENE, ID 83814-2604
(208) 664-1594
(208) 664-5867
Mailing address
1111 W IRONWOOD DR STE B, COEUR D ALENE, ID 83814-2604
(208) 664-1594
(208) 664-5867
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-31748
ID
Other
Enumeration date
12/23/2008
Last updated
05/01/2025
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