Individual
MS. L. JOHANNA YOUNGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
ROSEBURG VA HOSPITAL, 913 N.W. GARDEN VALLEY BLVD., ROSEBURG, OR 97470
(541) 440-1000
(541) 440-1374
Mailing address
705 BELLWOOD LN, ROSEBURG, OR 97470-9298
(541) 440-1000
(541) 440-1374
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
290
AK
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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