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Individual

SALLY R YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1268 W MAIN ST # 2, SUN PRAIRIE, WI 53590-1930
(608) 834-1132
(702) 664-6958
Mailing address
1268 W MAIN ST # 2, SUN PRAIRIE, WI 53590-1930
(608) 834-1132
(702) 664-6958

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1387-226
WI

Other

Enumeration date
07/25/2013
Last updated
07/25/2013
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