Individual
DR. CAROLYN A YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
128 W RED BAY RD, SUMTER, SC 29150-7536
(803) 778-1112
Mailing address
128 W RED BAY RD, SUMTER, SC 29150-7536
(803) 778-1112
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1584
SC
1041C0700X
Clinical Social Worker
1584
SC
1041S0200X
School Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1584
SOUTH CAROLINA
SC
Enumeration date
05/11/2012
Last updated
05/11/2012
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