MS. Debra Lynn Wyatt, M.S.W., L.C.S.W.

NPI #1962493221 in Van Buren, Missouri

Provider Information

NPI Number: 1962493221
Entity Type: Individual
Name: MS. Debra Lynn Wyatt, M.S.W., L.C.S.W.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: M.S.W., L.C.S.W.
Enumeration Date: Nov 4, 2005
Last Updated: Jul 10, 2012

Practice Location

Address: HC 1 BOX 776
Address 2: 715 LEUCKEL DRIVE
City: Van Buren
State: Missouri
ZIP Code: 63965-9733
Phone: (573) 300-7506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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