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Individual

KAI ISATU ETHEL YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4017 MINNESOTA AVE NE, WASHINGTON, DC 20019-3541
(202) 388-9202
(202) 388-4339
Mailing address
5403 NACY LEE LN, UPPER MARLBORO, MD 20772-7402
(301) 979-0005

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/06/2026
Last updated
01/06/2026
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