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Individual

JAMES LEONARD YOUNGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LP

Contact information

Practice address
40 11TH ST, CLOQUET, MN 55720-1817
(218) 879-4559
(218) 879-0282
Mailing address
1401 EAST FIRST STREET, DULUTH, MN 55805
(218) 728-4404
(218) 728-4404

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0694
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207048100
MN
Enumeration date
06/30/2006
Last updated
05/23/2012
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