Individual
GINA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2430 NICOLLET AVE SOUTH, WASHBURN CENTER FOR CHILDREN, MINNEAPOLIS, MN 55404
(612) 871-1454
(612) 871-1505
Mailing address
1100 GLENWOOD AVE, WASHBURN CENTER FOR CHILDREN, MINNEAPOLIS, MN 55405-1430
(612) 871-1454
(612) 871-1505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
20511
MN
Other
Enumeration date
06/19/2013
Last updated
12/17/2014
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