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Individual

CHERYNDRIA D WYATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW, C-ASWCM

Contact information

Practice address
108 HOPE ST, MANSFIELD, LA 71052
(318) 518-7462
Mailing address
108 HOPE ST, MANSFIELD, LA 71052-2906
(318) 518-7462

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
105510
TX
104100000X
Social Worker
Primary
11653
LA
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/18/2017
Last updated
02/26/2026
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