REX BLAIR WYATT

SPRINGFIELD, IL
NPI1417731290
Other NameABIGAIL KATHLEEN IVANCICTS
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IL  149.025823)
Enumeration Date2023-08-22
Last Update Date2024-07-09
Business Address
REX BLAIR WYATT LCSW
520 N 4TH ST
SPRINGFIELD, IL 62702-5238
Phone number: 217-545-8000
Mailing Address
REX BLAIR WYATT LCSW
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone number: 217-545-8000
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