DEMETRIC U WYATT

BARLING, AR
NPI1740206531
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AR  PROVISIONAL)
Enumeration Date2006-07-14
Last Update Date2007-07-08
Business Address
-- DEMETRIC U WYATT LMSW
10301 MAYO DR
BARLING, AR 72923-1660
Phone number: 479-494-5760
Mailing Address
-- DEMETRIC U WYATT LMSW
4253 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4593
Phone number: 479-521-5731
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