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Individual

AMANDA YOUNGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
828 DULANEY VALLEY RD STE 12, TOWSON, MD 21204
(410) 598-2536
Mailing address
526 RHAPSODY CT, COCKEYSVILLE, MD 21030-1915

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19662
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19662
MARYLAND SOCIAL LICENSE NUMBER
MD
Enumeration date
02/20/2014
Last updated
03/19/2019
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