Individual
KATHY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1471 ELMWOOD AVE, CRANSTON, RI 02910-3849
(401) 724-8400
(401) 722-5280
Mailing address
315 NORTHUP ST, CRANSTON, RI 02905-4205
(401) 548-6130
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
CSW02109.
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
01/17/2014
Last updated
09/18/2024
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