Individual
WYATT DERNBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
4238 AUBURN WAY N, AUBURN, WA 98002-1311
(206) 901-2000
(206) 901-2010
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
(206) 901-2010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWIA.SC.60815588
WA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
05/11/2026
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