Organization
WYATT URLACHER PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WYATT LAWRENCE URLACHER LCSW-PIP (OWNER)
(605) 519-3588
Entity
Organization
Contact information
Practice address
101 W BIRCHWOOD DR, BRANDON, SD 57005-2107
(605) 519-3588
Mailing address
101 W BIRCHWOOD DR, BRANDON, SD 57005-2107
(605) 519-3588
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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