Individual
PHILIP ROY YOUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19344 N 10TH ST, COVINGTON, LA 70433-8877
(985) 276-4165
(985) 400-2333
Mailing address
PO BOX 1152, MANDEVILLE, LA 70470-1152
(985) 200-3999
(985) 400-2333
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
768
LA
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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