Provider Information for 1649597675
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CYNTHIA L YOUNG LCSW
Sex: Female
NPI: 1649597675
Last Updated: 2023-05-10
Certification Date: 2023-05-10
Certification Date: 2023-05-10
Details
| Name | Value | ||||||||||||||||
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| NPI | 1649597675 | ||||||||||||||||
| Enumeration Date | 2010-04-30 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 710 NW 134TH TER PLANTATION, FL 33325-6164 United States Phone: 954-632-1556 | Fax: | ||||||||||||||||
| Primary Practice Address | 710 NW 134TH TER PLANTATION, FL 33325-6164 United States Phone: 954-632-1556 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | 10921 REED HARTMAN HWY | ||||||||||||||||
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