Individual
MAISHA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14900 N PENN AVE APT 233, OKLAHOMA CITY, OK 73134-5902
(405) 417-4090
Mailing address
14900 N PENN AVE APT 233, OKLAHOMA CITY, OK 73134-5902
(405) 417-4090
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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