Individual
MS. KONNICA WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2067 WILLOW GLENN DR, BIRMINGHAM, AL 35215-5000
(205) 370-1613
Mailing address
2067 WILLOW GLENN DR, BIRMINGHAM, AL 35215-5000
(205) 370-1613
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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