Individual
ALLEGRA WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
165 DEKALB INDUSTRIAL WAY STE G5, DECATUR, GA 30030-2204
(503) 432-9432
Mailing address
165 DEKALB INDUSTRIAL WAY STE G5, DECATUR, GA 30030-2204
(503) 432-9432
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW01156
GA
Other
Enumeration date
05/10/2023
Last updated
04/06/2025
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