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1770206674
WYATT HAYES
BLACKFOOT, ID
NPI
1770206674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW-38471)
Enumeration Date
2022-09-26
Last Update Date
2022-09-26
Business Address
WYATT HAYES LMSW
1309 CAMAS ST
BLACKFOOT, ID 83221-3060
Phone number: 208-782-0675
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Mailing Address
WYATT HAYES LMSW
101 N 700 W
BLACKFOOT, ID 83221-5311
Phone number: 208-681-6916
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