| NPI | 1932777232 |
|---|---|
| Doing Business As | TRACEY WYATT |
| Entity Type | Organization |
| Authorized Contact | TRACEY K WYATT Owner 706-201-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2021-06-15 |