Individual
MRS. EVELYN R YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10950 SCHUETZ RD, ST LOUIS, MO 63146
(314) 812-9315
(314) 812-9398
Mailing address
10950 SCHUETZ RD, ST LOUIS, MO 63146
(314) 812-9315
(314) 812-9398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001621LCSW
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499480408
—
MO
Enumeration date
02/06/2007
Last updated
03/17/2020
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