Individual
VALERIE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13131 HIGHWAY 603 STE 307, BAY ST LOUIS, MS 39520-8746
(228) 466-4690
Mailing address
1867 CRANE RIDGE DR STE 150C, JACKSON, MS 39216-4982
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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