Individual
MR. MICHAEL PETER YOUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
106 E CENTER ST, CARROLLTON, GA 30117
(404) 580-7248
(770) 577-3934
Mailing address
3534 FAIRGREEN CT, DOUGLASVILLE, GA 30135
(404) 580-7248
(770) 577-3934
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1475
GA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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