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Individual

KATHY RAE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 997-3647
(618) 969-6437
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 997-3647
(618) 969-6437

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.004371
IL

Other

Enumeration date
04/01/2010
Last updated
04/01/2010
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