Individual
MS. ANEISA MARIE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3312 N OAK ST EXT BLDG D, VALDOSTA, GA 31605-1066
(229) 244-2030
(229) 244-2038
Mailing address
3312 N OAK ST EXT BLDG D, VALDOSTA, GA 31605-1066
(229) 244-2030
(229) 244-2038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4718
GA
Other
Enumeration date
11/23/2015
Last updated
07/06/2021
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