Individual
KURT YOUNGBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
109 ANDERSON ST SE STE 101, MARIETTA, GA 30060-8610
(714) 482-5472
Mailing address
377 SILVERTHORN DR NW, MARIETTA, GA 30064-1062
(714) 482-5472
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
8375190-3502
UT
1041C0700X
Clinical Social Worker
Primary
CSW006152
GA
Other
Enumeration date
10/12/2012
Last updated
07/21/2022
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