Individual
MRS. CYNTHIA ANN MILLER WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 W ENT AVE, BUILDING 725, PETERSON SPACE FORCE BASE, CO 80916
(719) 556-8943
Mailing address
7206 FLOWERING ALMOND DR, COLORADO SPRINGS, CO 80923-5499
(940) 337-1550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
41874
TX
1041C0700X
Clinical Social Worker
8441
LA
1041C0700X
Clinical Social Worker
989226
CO
Other
Enumeration date
12/27/2005
Last updated
08/31/2022
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