Individual
CARLA J WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1610 WOODSTEAD CT STE 420, THE WOODLANDS, TX 77380-3404
(281) 363-4220
(281) 364-9404
Mailing address
1610 WOODSTEAD CT STE 420, THE WOODLANDS, TX 77380-3404
(281) 363-4220
(281) 364-9404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
32044
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018NU
BC BS OF TEXAS
TX
01
—
241041
COMPSYCH
—
Enumeration date
08/31/2006
Last updated
07/08/2007
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