Individual
COREY MARSETT YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SC61292982
Contact information
Practice address
5900 100TH ST SW, LAKEWOOD, WA 98499-2749
(253) 651-0649
Mailing address
PO BOX 64082, TACOMA, WA 98464-0082
(253) 651-0649
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SC61292982
WA
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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