Individual
WYATT TAYLOR DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LCSW
Contact information
Practice address
820 JOHN ST SE, ALBUQUERQUE, NM 87102-4235
(505) 730-5463
Mailing address
PO BOX 40162, ALBUQUERQUE, NM 87196-0162
(505) 730-5463
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
06/19/2024
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