Individual
WYATT ALAN AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT INTERN
Contact information
Practice address
235 S EL DORADO CIR, MESA, AZ 85202-1044
(480) 968-2995
Mailing address
1800 W ELLIOT RD UNIT 203, CHANDLER, AZ 85224-8831
(480) 298-8799
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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