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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WYATT THOMAS

Active

WYATT THOMAS is a Clinical Social Worker healthcare provider located in ROSEVILLE, Minnesota. NPI 1194488080 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ROSEVILLE, MN

Registration Details

NPI Number
1194488080
Provider Type
Individual
Gender
Male
NPI Issued
Oct 18, 2021 (4.8400121448483 yrs)
Last Updated
Oct 18, 2021
License
28233 (MN)

Practice Information

Address
1700 HIGHWAY 36 W STE 130
ROSEVILLE, MN, 551134054
Browse MN providers · Browse ZIP 55113
Phone
9524609003
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in ROSEVILLE, MN

Name Credential NPI
MR. TIMOTHY EDWARD MCGUIRE LICSW, BCD 1306843586
MS. JULIE ANN CHILDS M.S.W. 1700811486
MS. SHANNON E POWELL MA LICSW 1578589511
DONNA ANDERSON LICSW 1669491908
JEAN GREGG LICSW 1073611315
MR. JEFFRY DAVID JEANETTA WARK MA LICSW 1982778932
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.