Individual
PROF. BREANNA J WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 OLIVE ST, STE. 500, SAINT LOUIS, MO 63103-2303
(314) 206-3700
(314) 206-3708
Mailing address
1430 OLIVE ST, STE. 500, SAINT LOUIS, MO 63103-2303
(314) 206-3700
(314) 206-3708
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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