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Individual

MR. RICHARD CHARLES YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2025 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-1833
(314) 550-2251
Mailing address
4124 ROBERT AVE, SAINT LOUIS, MO 63116-2742
(314) 550-2251

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2006022838
MO

Other

Enumeration date
12/27/2011
Last updated
12/27/2011
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