MRS. Nicole M Wynn

NPI #1568699619 in Du Quoin, Illinois

Provider Information

NPI Number
1568699619
Entity Type
Individual
Name
MRS. Nicole M Wynn
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Enumeration Date
Jun 16, 2009
Last Updated
Jun 16, 2009

Practice Location

Address
8362 SASSAFRAS RD
ZIP Code
62832-3604
Phone
(618) 542-4234

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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