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Individual

LANCE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 417-2769
Mailing address
22101 MOROSS RD, DETROIT, MI 48236-2148

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80165
104100000X
Social Worker
2513140150
MI

Other

Enumeration date
12/12/2022
Last updated
09/26/2025
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