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Lucas Walker Wyatt
Professional Counselor in Maple Grove, Minnesota
NPI 1366198244

Lucas Walker Wyatt is a Professional Counselor based in Maple Grove, MN and is specialized in Professional. Lucas Walker Wyatt practices in Maple Grove, MN. The NPI Number for Lucas Walker Wyatt is 1366198244 and holds a License No. (Minnesota).

The current practice location address for Lucas Walker Wyatt is 13608 80Th Cir N, Maple Grove, MN and can be reached out via phone at 763-274-3120.

Location: 13608 80Th Cir N, Maple Grove, MN, 55369-8961
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366198244
Provider Name
Lucas Walker Wyatt
Credential
Provider Entity Type
Individual
Gender
Male
Address
13608 80Th Cir N, Maple Grove, MN, 55369-8961
Phone Number
763-274-3120
Fax Number
Provider Enumeration Date
03/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13608 80Th Cir N
City
Maple Grove
State
Minnesota
Zip
55369-8961
Phone Number
763-274-3120
Fax Number
person
Provider Business Mailing Address Details
Address
13608 80Th Cir N
City
Maple Grove
State
Minnesota
Zip
55369-8961
Phone Number
763-274-3120
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
(Minnesota)
Definition
Definition to come...
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