Individual
MS. CONSTANCE WYNNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1059 TREMONT ST, BOSTON, MA 02120-2149
(310) 488-6867
Mailing address
1059 TREMONT ST, BOSTON, MA 02120-2149
(310) 488-6867
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114240
MA
Other
Enumeration date
04/30/2008
Last updated
01/07/2015
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