Stacy M Wynn

NPI #1891083549 in Capac, Michigan

Provider Information

NPI Number
1891083549
Entity Type
Individual
Name
Stacy M Wynn
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jul 15, 2011
Last Updated
Jul 15, 2011

Practice Location

Address
14960 E PARK ST
City
Capac
ZIP Code
48014-3177
Phone
(810) 395-4343

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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