Individual
MALIK ANTHONY WYNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5900 W ROCHELLE AVE, LAS VEGAS, NV 89103-3304
(725) 205-9233
Mailing address
8449 INDIGO SKY AVE, LAS VEGAS, NV 89129-2194
(315) 406-8563
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9887-M
NV
1041C0700X
Clinical Social Worker
Primary
12342-C
NV
Other
Enumeration date
07/11/2017
Last updated
06/13/2026
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