FREDERICK YOUNG

MILWAUKEE, WI
NPI1720345093
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16312-130)
Enumeration Date2012-04-11
Last Update Date2012-04-11
Business Address
-- FREDERICK YOUNG BA, SAC-IT
3707 N RICHARDS ST
MILWAUKEE, WI 53212-1673
Phone number: 414-967-7006
Mailing Address
-- FREDERICK YOUNG BA, SAC-IT
3707 N RICHARDS ST
MILWAUKEE, WI 53212-1673
Phone number:
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