DAVID WYNN

BOISE, ID
NPI1164859989
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW - 33256)
Enumeration Date2013-10-11
Last Update Date2016-03-16
Business Address
Mr. DAVID WYNN LCSW
131 N ALLUMBAUGH ST
BOISE, ID 83704-9204
Phone number: 208-367-2175
Mailing Address
Mr. DAVID WYNN LCSW
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-367-2175
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