Individual
MS. CRYSTAL SHANTEL WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
770 WOODLANE RD STE 35, WESTAMPTON, NJ 08060-3803
(609) 267-5928
Mailing address
149 WASHINGTON ST, MOUNT HOLLY, NJ 08060-1658
(609) 321-2845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/18/2021
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