Individual
LINDA WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
40 BARBERRY CIR, COVINGTON, GA 30016-6504
(404) 451-1606
Mailing address
40 BARBERRY CIR, COVINGTON, GA 30016-6504
(404) 451-1606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004129
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003128830A
—
GA
Enumeration date
06/26/2012
Last updated
03/28/2013
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