Individual
MR. COURTLAND JAMES YOUNG III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3 SKYLINE DR, PROSPECT, CT 06712-1735
(203) 758-3216
Mailing address
6 GREENRIDGE TER, WOLCOTT, CT 06716-2653
(203) 879-7035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
CT
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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