KEVIN B YOUNG

POCATELLO, ID
NPI1831336841
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-27608)
Enumeration Date2009-01-13
Last Update Date2009-01-13
Business Address
-- KEVIN B YOUNG LCSW
210 E CENTER ST STE B
POCATELLO, ID 83201-6326
Phone number: 208-234-2600
Mailing Address
-- KEVIN B YOUNG LCSW
275 N 400 W
BLACKFOOT, ID 83221-5471
Phone number: 208-785-3658
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