Individual
FELICIA S WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
31335 RAYBURN ST, LIVONIA, MI 48154-6200
(810) 471-5803
Mailing address
31335 RAYBURN ST, LIVONIA, MI 48154-6200
(810) 471-5803
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801102132
MI
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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