Individual
CHERYL YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 3RD AVE SW STE D, MINOT, ND 58701-4346
(701) 223-2417
Mailing address
408 21ST ST SW, MINOT, ND 58701-3536
(417) 247-5701
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1481489
—
ND
Enumeration date
12/31/2020
Last updated
04/15/2021
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