Individual
ANDREA WYNKOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
601 N BELAIR SQ STE 3, EVANS, GA 30809-4322
(706) 833-0780
Mailing address
876 WESTLAWN DR, GROVETOWN, GA 30813-2017
(716) 359-3910
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW009363
GA
1041C0700X
Clinical Social Worker
Primary
CSW008273
GA
Other
Enumeration date
08/26/2020
Last updated
09/30/2022
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