Debra Wyatt's National Provider Identifier (NPI) Details
Debra Wyatt, M.S.W., L.C.S.W.
NPI: 1962493221
Enumeration Date: 2005-11-04
Last updated: 2012-07-10
Sole Proprietor: YES
Status: active
Postal Address: HC 1 BOX 776, 715 LEUCKEL DRIVE, VAN BUREN, MO
Phone: 573-300-7506
Primary Practice Address: HC 1 BOX 776, 715 LEUCKEL DRIVE, VAN BUREN, MO
Practice's phone: 573-300-7506