Individual
STEPHANIE LEE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5913 MISSY LN, FORT WORTH, TX 76131-1624
(432) 256-0570
Mailing address
2817 PRAIRIE LN, BAR NUNN, WY 82601-9436
(432) 256-0570
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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