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1104858000
MARK ANTHONY YOUNG
SIOUX FALLS, SD
NPI
1104858000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SD 03021132)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
Mr. MARK ANTHONY YOUNG M.A., CCDCIII
2501 W 22ND ST
SIOUX FALLS, SD 57105-1305
Phone number: 605-333-6890
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Mailing Address
Mr. MARK ANTHONY YOUNG M.A., CCDCIII
1952 W JOHNSON PL
SIOUX FALLS, SD 57105-6638
Phone number: 605-331-5285
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