Individual
AMY B WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1118 SAM NEWELL RD, MATTHEWS, NC 28105-5041
(980) 288-4098
Mailing address
1118 SAM NEWELL RD STE D2, MATTHEWS, NC 28105-5162
(980) 288-4098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C013038
NC
Other
Enumeration date
09/06/2019
Last updated
07/31/2020
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