Individual
WANDA WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
704 THIRD AVENUE, MARLINTON, WV 24854-1142
(304) 799-6865
(304) 799-6878
Mailing address
131 WELLNESS DR, SUMMERSVILLE, WV 26651-5402
(304) 872-6503
(304) 872-5415
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00944426
WV
Other
Enumeration date
12/15/2014
Last updated
04/19/2022
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