Individual
JOHN C YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
(803) 259-3250
Mailing address
120 LIVE OAK LN, BARNWELL, SC 29812-7428
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1004
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004
MEDICAL LICENSE
SC
05
—
SW1311
—
SC
Enumeration date
11/28/2006
Last updated
02/27/2023
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