Individual
CARLA SUE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2018 JACKSON DR, VINCENNES, IN 47591-5921
(812) 882-6341
Mailing address
2018 JACKSON DR, VINCENNES, IN 47591-5921
(812) 882-6341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31001784A
IN
Other
Enumeration date
11/20/2006
Last updated
07/09/2007
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