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1093951915
ROBERT K WYATT
COEUR D ALENE, ID
NPI
1093951915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-31748)
Enumeration Date
2008-12-23
Last Update Date
2014-05-27
Business Address
-- ROBERT K WYATT LCSW
950 W IRONWOOD DR SUITE #2
COEUR D ALENE, ID 83814-2644
Phone number: 208-664-1594
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Mailing Address
-- ROBERT K WYATT LCSW
950 W IRONWOOD DR SUITE #2
COEUR D ALENE, ID 83814-2644
Phone number: 208-664-1594
Copy
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