Individual
LISA MARIE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
600 ARTHUR ST, KNOXVILLE, TN 37921-6405
(865) 523-8695
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(956) 878-9881
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
P016069
NC
1041C0700X
Clinical Social Worker
Primary
9883
TN
Other
Enumeration date
09/14/2021
Last updated
06/23/2025
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