Individual
KANDIS NICHOLE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W
Contact information
Practice address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 253-1686
Mailing address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 253-1686
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
10/23/2014
Last updated
04/16/2024
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