Individual
MRS. ALICIA RENEE YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
55706
TX
251B00000X
Case Management Agency
Primary
55706
TX
Other
Enumeration date
08/15/2012
Last updated
02/15/2013
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