MEDICARE: MRS. LAUREN DEBS YOUNG LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW7343	FL

General Provider Information

NPI Number	:	1447321989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAUREN DEBS YOUNG LCSW

Provider Business Mailing Address
First Line	:	PO BOX 541364
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33454-1364
Country	:	US
Telephone Number	:	561-452-4388
Fax Number	:

Provider Business Practice Location Address
First Line	:	3307 NORTHLAKE BLVD
Second Line	:	SUITE B104
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33403-1703
Country	:	US
Telephone Number	:	561-452-4388
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	07/08/2007

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