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Individual
MR. MARK R YOUNG
Active
Individual
MR. MARK R YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSSW, LMSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
466-123
WI
1041C0700X
Clinical Social Worker
Primary
6801059457
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800891684
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
10/25/2006
Last updated
11/07/2010
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