YOUTH FORM, LLC

TALLAHASSEE, FL
NPI1699528059
Entity TypeOrganization
Authorized ContactKORTNEY CLINTON
Founder/Clinican
850-296-2493
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2024-04-08
Last Update Date2024-04-08
Business Address
YOUTH FORM, LLC
1018 THOMASVILLE RD
TALLAHASSEE, FL 32303-8701
Phone number: 850-296-2493
Mailing Address
YOUTH FORM, LLC
PO BOX 332
LLOYD, FL 32337-0332
Phone number: 850-296-2493
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