ANASTASIA STACY WYATT

MUNFORDVILLE, KY
NPI1245365527
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  0762)
Enumeration Date2007-02-23
Last Update Date2007-07-08
Business Address
-- ANASTASIA STACY WYATT CADC
118 WEST UNION STREET
MUNFORDVILLE, KY 42765
Phone number: 270-524-9883
Mailing Address
-- ANASTASIA STACY WYATT CADC
1686 MOREHEAD RD
BOWLING GREEN, KY 42101-6304
Phone number:
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