Individual
MRS. ELIZABETH JANE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 NW 107TH TER, SUNRISE, FL 33322-3436
(954) 742-9924
Mailing address
2050 NW 107TH TER, SUNRISE, FL 33322-3436
(954) 742-9924
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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