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Individual

MRS. NINEKIA YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4200 GUS THOMASSON RD STE 110, MESQUITE, TX 75150-7009
(469) 583-9411
Mailing address
2117 AUSTIN DR STE 110, MESQUITE, TX 75181-1733
(469) 478-6537

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
TX

Other

Enumeration date
02/05/2020
Last updated
02/05/2020
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