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Individual

MS. MARI LYNN CAROL YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
6362 S 20TH ST, MILWAUKEE, WI 53221-5255
(414) 761-9061
Mailing address
6362 S 20TH ST, MILWAUKEE, WI 53221-5255
(414) 761-9061

Taxonomy

Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
4227026
WI

Other

Enumeration date
06/11/2007
Last updated
07/08/2007
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