Individual
ELIZABETH L YOUNGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 E LIVINGSTON AVE, COLUMBUS, OH 43205-2618
(614) 722-8200
(614) 722-8422
Mailing address
DEPT. 781625, PO BOX 78000, DETROIT, MI 48278-1625
(614) 355-8004
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1600291
OH
1041C0700X
Clinical Social Worker
Primary
I.1801318
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
06/19/2018
Last updated
07/15/2020
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