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1437807310
WYATT FLAKE
FORT SMITH, AR
NPI
1437807310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-03-10
Last Update Date
2022-03-10
Business Address
WYATT FLAKE
821 N 10TH ST
FORT SMITH, AR 72901-1505
Phone number: 615-347-3115
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Mailing Address
WYATT FLAKE
817 N 10TH ST
FORT SMITH, AR 72901-1505
Phone number: 501-766-1247
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