Individual
MINDY LEE WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 10TH AVE SE, OLYMPIA, WA 98501-1566
(360) 878-8248
Mailing address
1011 10TH AVE SE, OLYMPIA, WA 98501-1566
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
05/29/2019
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