Individual
ANQUONDA WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4425 WINDSOR CT APT 201, SWARTZ CREEK, MI 48473-1828
(810) 336-1284
Mailing address
4425 WINDSOR CT APT 201, SWARTZ CREEK, MI 48473-1828
(810) 336-1284
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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