Individual
DARCY L WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
751 NE BLAKELY DR STE 5010, ISSAQUAH, WA 98029-6201
(425) 394-0700
(425) 394-0701
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61133244
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336539071
—
WA
Enumeration date
02/03/2015
Last updated
08/09/2021
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