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NPI Code Detail

MEDICARE: VICTORIA S YOUNG MSW

MEDICARE: VICTORIA S YOUNG MSW
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
1104100000XSocial Worker09047000863VA

General Provider Information

NPI Number : 1801983192
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA S YOUNG MSW
Provider Business Mailing Address
First Line : 320 FEDERAL ST
Second Line :
City : LYNCHBURG
State : VA
Zip : 24504-2306
Country : US
Telephone Number : 434-947-5967
Fax Number : 434-947-5971
Provider Business Practice Location Address
First Line : 320 FEDERAL ST
Second Line :
City : LYNCHBURG
State : VA
Zip : 24504-2306
Country : US
Telephone Number : 434-947-5967
Fax Number : 434-947-5971
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 07/08/2007

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Directions to “ VICTORIA S YOUNG MSW” Practice Location

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