Susan L. Young, Inc. | |
3111 Springbank Ln Suite I Charlotte NC 28226-3372 | |
(704) 540-3055 | |
(704) 540-2762 |
Full Name | Susan L. Young, Inc. |
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Speciality | Social Worker - Clinical |
Location | 3111 Springbank Ln, Charlotte, North Carolina |
Authorized Official Name and Position | Susan Luke Young (PRESIDENT / SOLE PROPRIETOR) |
Authorized Official Contact | 7045403055 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Susan L. Young, Inc. 3111 Springbank Ln Suite I Charlotte NC 28226-3372 Ph: (704) 540-3055 | Susan L. Young, Inc. 3111 Springbank Ln Suite I Charlotte NC 28226-3372 Ph: (704) 540-3055 |
NPI Number | 1225237183 |
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Provider Enumeration Date | 07/12/2007 |
Last Update Date | 12/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225237183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1106 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C003335 (North Carolina) | Primary |
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