Individual
SANDRA WYNN WYNDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 CRUMS LN, LOUISVILLE, KY 40216-4231
(502) 589-8950
(502) 449-3690
Mailing address
2105 CRUMS LN, LOUISVILLE, KY 40216-4231
(502) 589-8950
(502) 449-3690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY 1967
KY
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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