Individual
MALIK ANTHONY WYNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CSW-I
Contact information
Practice address
7373 PEAK DR STE 130, LAS VEGAS, NV 89128-9004
(702) 471-0420
Mailing address
8449 INDIGO SKY AVE, LAS VEGAS, NV 89129
(315) 406-8563
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9887-M
NV
Other
Enumeration date
07/11/2017
Last updated
03/28/2023
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