Individual
CRISTEN DAWN WYATT-YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1109 JEFFERSON RD STE C, SOUTH CHARLESTON, WV 25309-8815
(877) 338-2725
Mailing address
1109 JEFFERSON RD STE C, SOUTH CHARLESTON, WV 25309-8815
(877) 338-2725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW082015588
WV
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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