Individual
JAMIE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSW, MPH
Contact information
Practice address
640 CENTRE ST, SOUTHERN JAMAICA PLAIN HEALTH CENTER, JAMAICA PLAIN, MA 02130-2555
(617) 983-4182
Mailing address
154 HARVARD ST APT 1, BROOKLINE, MA 02446-6436
(617) 519-3980
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
213342
MA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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