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Individual

MR. NICHOLAS KRISTOPHER YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.W, M.DIV, LMSW

Contact information

Practice address
4717 BOOSA ST, CAPITOL HEIGHTS, MD 20743-5272
(240) 688-8501
Mailing address
4717 BOOSA ST, CAPITOL HEIGHTS, MD 20743-5272
(240) 688-8501

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28218
MD

Other

Enumeration date
02/01/2022
Last updated
02/01/2022
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