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Individual

LAQUITA YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MHP

Contact information

Practice address
1028 S PINE ST STE C, VIVIAN, LA 71082-3623
(318) 375-2780
(318) 375-2781
Mailing address
1028 S PINE ST STE C, VIVIAN, LA 71082-3623
(318) 375-2780
(318) 375-2781

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/27/2018
Last updated
07/27/2018
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