Individual
NIKKI L YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 PERRY ST, DEFIANCE, OH 43512-2123
(419) 428-3800
(419) 784-2523
Mailing address
511 PERRY ST, DEFIANCE, OH 43512-2123
(419) 428-3800
(419) 784-2523
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDCA.162513
LICENSE
OH
01
—
W.1600067
LICENSE
OH
Enumeration date
12/07/2017
Last updated
12/07/2017
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