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Individual

MS. KRISTIN WYATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1509 16TH ST NW, WASHINGTON, DC 20036-1461
(202) 289-1510
Mailing address
2003 GATEWOOD PL, SILVER SPRING, MD 20903-1504
(202) 714-0919

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC14324
DC

Other

Enumeration date
12/11/2012
Last updated
12/11/2012
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