Individual
JOSETTE C WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
C/O ASLAN INSTITUTE, 4141 OLD SIBLEY MEMORIAL HWY, EAGAN, MN 55122
(612) 578-7916
Mailing address
11525 RIVER HILLS DR, BURNSVILLE, MN 55337-3215
(612) 578-7916
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30694
MN
Other
Enumeration date
01/04/2022
Last updated
04/19/2024
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