Individual
ANTONETTE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
167 POLK ST STE 300, WATERTOWN, NY 13601-2770
(315) 782-7445
(315) 779-1184
Mailing address
PO BOX 6550, WATERTOWN, NY 13601-6550
(315) 782-7445
(315) 779-1184
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P102814
NY
104100000X
Social Worker
—
—
Other
Enumeration date
08/13/2019
Last updated
10/02/2019
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