Individual
VALERIE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15465 OAK LN STE 100F, GULFPORT, MS 39503-2663
(228) 206-1824
(228) 288-0208
Mailing address
15465 OAK LN STE 100F, GULFPORT, MS 39503-2663
(228) 206-1824
(228) 288-0208
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M11802
MS
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
08/05/2026
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