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Individual

SHANNON D YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSWI

Contact information

Practice address
194 S MAIN ST, PLEASANT GROVE, UT 84062-2631
(801) 785-1169
(801) 785-1154
Mailing address
194 S MAIN ST, PLEASANT GROVE, UT 84062-2631
(801) 785-1169
(801) 785-1154

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary

Other

Enumeration date
06/10/2010
Last updated
06/10/2010
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