Organization
JEANNE D. WYATT, M.S.W., L.C.S.W., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNE D. WYATT L.C.S.W. (PRESIDENT)
(770) 449-4581
Entity
Organization
Contact information
Practice address
5672 PEACHTREE PARKWAY,, SUITE B, NORCROSS, GA 30092-2847
(770) 449-4581
(770) 449-4123
Mailing address
5672 PEACHTREE PARKWAY, SUITE B, NORCROSS, GA 30092-2847
(770) 449-4581
(770) 449-4123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001696
GA
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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