Individual
MRS. KRISTIN IRENE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW LCSW
Contact information
Practice address
106 CYPRESS AVE, EAST ARKANSAS YOUTH SERVICES, MARION, AR 72364
(870) 739-4219
Mailing address
5060 ALROSE AVE, MEMPHIS, TN 38117-5802
(901) 481-1750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2225-C
AR
1041C0700X
Clinical Social Worker
LSW0000004978
TN
1041C0700X
Clinical Social Worker
SW 8403
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7684118 00
—
FL
Enumeration date
10/16/2006
Last updated
03/02/2009
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