Individual
MR. THEODORE YOUNG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, C-ASWCM, MPA
Contact information
Practice address
6098 DEBRA RD, SUITE 5200, CHATTANOOGA, TN 37411-5702
(423) 893-6500
Mailing address
944 WYNDSOR DR, HIXSON, TN 37343-2210
(423) 710-1362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7949
TN
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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