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Individual

BYRON YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8320 PACES OAKS BLVD APT 1126, CHARLOTTE, NC 28213-4149
(773) 550-8988
Mailing address
8320 PACES OAKS BLVD APT 1126, CHARLOTTE, NC 28213-4149
(773) 550-8988

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014562
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9999999
N/A
Enumeration date
06/15/2020
Last updated
06/23/2020
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