Individual
AUDREY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7106 STANWOOD DR, COLUMBIA, MO 65203-8436
(618) 401-7974
Mailing address
7106 STANWOOD DR, COLUMBIA, MO 65203-8436
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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