Provider Information for 1619499084
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Mrs. CHRISTINE YOUNG LCSW
Sex: Female
NPI: 1619499084
Last Updated: 2022-07-21
Certification Date:
Certification Date:
Details
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NPI | 1619499084 | ||||||||
Enumeration Date | 2017-07-07 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 5302 N KEDZIE AVE APT 2A CHICAGO, IL 60625-4758 United States Phone: 630-696-1423 | Fax: | ||||||||
Primary Practice Address | 5302 N. KEDZIE UNIT 2A CHICAGO, IL 60625 United States Phone: 630-696-1423 | Fax: | ||||||||
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