Individual
MS. JEANNE D. WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
5672 PEACHTREE PKWY, SUITE B, NORCROSS, GA 30092-2848
(770) 449-4581
(770) 449-4123
Mailing address
5672 PEACHTREE PKWY, SUITE B, NORCROSS, GA 30092-2848
(770) 449-4581
(770) 449-4123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001696
GA
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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