Individual
PETER S YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RCSWI
Contact information
Practice address
16565 NE 4TH AVE, MIAMI, FL 33162-3511
(786) 354-1022
Mailing address
6039 COLLINS AVE APT 1711, MIAMI BEACH, FL 33140-2256
(786) 354-1022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW12744
FL
1041C0700X
Clinical Social Worker
ISW12744
FL
Other
Enumeration date
03/22/2020
Last updated
03/22/2020
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