Individual
MS. SUSAN MARY YOUNG
Active
Individual
MS. SUSAN MARY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
166.000713
IL
163WN1003X
Nutrition Support Registered Nurse
Primary
041-230219
IL
Other
Enumeration date
05/14/2007
Last updated
03/09/2017
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