Individual
ANITA WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
585 JEWETT RD, MASON, MI 48854-8729
(517) 676-5405
(517) 676-5460
Mailing address
PO BOX 289, MASON, MI 48854-0289
(517) 676-5405
(517) 676-5460
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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