Individual
JUDY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 FREEDOM DR, EVANSTON, WY 82930-3053
(307) 789-3440
(307) 789-3440
Mailing address
101 FREEDOM DR, EVANSTON, WY 82930-3053
(307) 789-3440
(307) 789-3440
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113337300
—
WY
Enumeration date
10/22/2010
Last updated
10/22/2010
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