Individual
ELIZABETH WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
500 ATLANTIC AVE, BROOKLYN, NY 11217-1813
(718) 398-0800
(718) 789-8807
Mailing address
500 ATLANTIC AVE, BROOKLYN, NY 11217-1813
(718) 398-0800
(718) 789-8807
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001837
NY
Other
Enumeration date
03/21/2015
Last updated
03/21/2015
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