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1578789327
RICHARD DWAYNE YOUNG
SOUTHLAKE, TX
NPI
1578789327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 57515)
Enumeration Date
2007-04-18
Last Update Date
2016-11-29
Business Address
Mr. RICHARD DWAYNE YOUNG LCSW
211 E SOUTHLAKE BLVD STE 111
SOUTHLAKE, TX 76092-6274
Phone number: 225-202-0236
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Mailing Address
Mr. RICHARD DWAYNE YOUNG LCSW
904 HILLCREST TRL
SOUTHLAKE, TX 76092-8447
Phone number: 225-202-0236
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