Individual
MRS. SALLY ANN YOUNG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.T.C.-L
Contact information
Practice address
6422 E STATE ROAD 218, WALTON, IN 46994-9303
(574) 626-2511
(574) 626-2172
Mailing address
314 W JACKSON ST, GALVESTON, IN 46932-8791
(574) 699-6449
(574) 626-2172
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
36000029A
IN
Other
Enumeration date
02/20/2006
Last updated
07/08/2007
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