Individual
MRS. ELIZABETH WILDER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
Mailing address
120 E TRINITY PL, DECATUR, GA 30030-3302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004660
GA
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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