Individual
FLETA JOY YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
139 W LAMAR ST, JASPER, TX 75951-4014
(409) 384-6829
(409) 384-4770
Mailing address
RT. 5 BOX 15, KIRBYVILLE, TX 75956
(409) 423-3807
(409) 423-3807
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19736
TX
Other
Enumeration date
04/06/2007
Last updated
07/09/2007
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