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Individual
MARY YOUNG
Active
Individual
MARY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14987
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146572602
—
TX
Enumeration date
03/26/2007
Last updated
10/26/2010
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