Individual
PATRICIA WYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E 82ND ST, NEWAYGO, MI 49337-8890
(231) 652-1780
(231) 652-1786
Mailing address
222 E 82ND ST, NEWAYGO, MI 49337-8890
(231) 652-1780
(231) 652-1786
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
M-00044
MI
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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