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General NPI Number Information
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NPI Number | 1821116344
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Entity Type | Individual
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Provider Name | JOANNE M YOUNG LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/08/2010
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Provider Practice Location Address
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Address Line | 820 BAY AVENUE SUITE 205
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City | CAPITOLA
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State | CA
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Zip | 95010
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Country | US
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Telephone | 831-462-1849
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Fax | 831-479-9048
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Provider Business Mailing Address
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Address Line | 820 BAY AVENUE SUITE 205
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City | CAPITOLA
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State | CA
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Zip | 95010
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Country | US
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Telephone | 831-476-1243
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Fax | 831-479-9048
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCS100
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License Number State | CA
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