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1134539299
THERESE K WYATT
MARIETTA, GA
NPI
1134539299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC004095)
Enumeration Date
2014-04-29
Last Update Date
2014-04-29
Business Address
Mrs. THERESE K WYATT LAPC
2993 SANDY PLAINS RD SUITE 115
MARIETTA, GA 30066-4695
Phone number: 770-910-2753
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Mailing Address
Mrs. THERESE K WYATT LAPC
1105 WILEY BRIDGE RD
WOODSTOCK, GA 30188-4628
Phone number: 678-898-2335
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