Individual
EVONNE L. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1324 COMMERCE DR., DILLON, SC 29536
(843) 774-3351
(843) 774-2622
Mailing address
P.O. BOX 918, BENNETTOVILLE, SC 29512
(843) 454-0841
(843) 454-0635
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405127
—
SC
Enumeration date
08/11/2015
Last updated
08/11/2015
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