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1760131551
JORDAN YOUNG
LAWRENCEVILLE, IL
NPI
1760131551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
JORDAN YOUNG
11362 COUNTRY CLUB RD
LAWRENCEVILLE, IL 62439-4325
Phone number: 618-943-3302
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Mailing Address
JORDAN YOUNG
11362 COUNTRY CLUB RD
LAWRENCEVILLE, IL 62439-4325
Phone number:
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