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Individual

ANNETTE J YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2104 W LABURNUM AVE, RICHMOND, VA 23227-4357
(804) 354-8108
(804) 354-4359
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015630
VA
1041C0700X
Clinical Social Worker
L4148
OR

Other

Enumeration date
03/23/2022
Last updated
02/20/2024
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