Individual
MRS. MANDY LANE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-1000
Mailing address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-1000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2252-M
AR
Other
Enumeration date
06/27/2007
Last updated
04/07/2009
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