Wyatt Coleman
Social Worker, Clinical in Afton, MN. Individual provider (NPI-1).
NPI number1164095568
StatusActive
Last updated in NPPESSep 15, 2025
Details
- NPI
- 1164095568
- Entity type
- Individual (NPI-1)
- Name
- Wyatt Coleman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2021
- Certification date
- Sep 15, 2025
- Last updated
- Sep 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 27832 | MN | Yes |
Other names
- Katie Marie Fleckenstein (Former Name)
Practice location
15489 45th St SAfton, MN 55001-9681
Phone 651-315-5254 · Fax 651-300-2745
Mailing address
15489 45th St SAfton, MN 55001-9681
Phone 651-315-5254 · Fax 651-300-2745
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