Individual
RACHEL WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
330 E 10TH AVE, BOWLING GREEN, KY 42101-2110
(270) 901-5000
(270) 842-5268
Mailing address
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
(270) 901-5000
(270) 842-5268
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
254178
KY
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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