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Individual
SHAWNA JACKSON YOUNG
Active
Individual
SHAWNA JACKSON YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC III, LISW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.161563
OH
104100000X
Social Worker
S.1600353
OH
1041C0700X
Clinical Social Worker
Primary
I.1801043
OH
Other
Enumeration date
06/08/2016
Last updated
06/23/2018
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