Individual
MR. DAVID WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1924 W MICHELLE DR, NAMPA, ID 83651-7653
(208) 996-8402
(208) 213-2789
Mailing address
1924 W MICHELLE DR, NAMPA, ID 83651-7653
(208) 996-8402
(208) 213-2789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW - 33256
ID
Other
Enumeration date
10/11/2013
Last updated
04/13/2026
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