Individual
WYATT LYNN HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1309 CAMAS ST, BLACKFOOT, ID 83221-3060
(208) 782-0675
Mailing address
101 N 700 W, BLACKFOOT, ID 83221-5311
(208) 681-6916
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
38471
ID
Other
Enumeration date
09/26/2022
Last updated
07/29/2025
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