Individual
MS. ALYSSA WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4781 BROADWAY, NEW YORK, NY 10034-4915
(212) 304-6927
(212) 304-6925
Mailing address
4781 BROADWAY, NEW YORK, NY 10034-4915
(212) 304-6927
(212) 304-6925
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
071068
NY
Other
Enumeration date
12/02/2008
Last updated
05/28/2014
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