Individual
TONI WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6200 PERSHING AVE APT 346, FORT WORTH, TX 76116-2618
(214) 686-0023
Mailing address
6200 PERSHING AVE APT 346, FORT WORTH, TX 76116-2618
(214) 686-0023
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
64742
TX
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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