MRS. NICOLE WYNN

Developmental Therapist

Active Individual
NPI: 1568699619

Practice Address

8362 SASSAFRAS RD
Du Quoin, IL 62832

Phone: (618) 542-4234

Specialties

Specialty Code Primary License
Developmental Therapist 222Q00000X Yes -

Frequently Asked Questions

NPI 1568699619 is the National Provider Identifier for MRS. NICOLE WYNN, a Developmental Therapist provider located in Du Quoin, IL. This NPI was enumerated on June 16, 2009.
MRS. NICOLE WYNN practices at 8362 SASSAFRAS RD, Du Quoin, IL 62832.

Quick Facts

NPI
1568699619
Type
Individual
Enumerated
Jun 16, 2009
Last Updated
Jun 16, 2009

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