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Individual

MS. DIANNE A. YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.; M.S.W.

Contact information

Practice address
935 MAIN ST, C1, SAFETY HARBOR, FL 34695-3479
(727) 421-2617
(727) 216-6346
Mailing address
935 MAIN ST, C1, SAFETY HARBOR, FL 34695-3479
(727) 421-2617
(727) 216-6346

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1610
KY
104100000X
Social Worker
Primary
SW9340
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
82000753
KY
Enumeration date
06/21/2006
Last updated
09/13/2016
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