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1841871985
BAILIE YOUNGSTROM
LAKELAND, FL
NPI
1841871985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 17399)
Enumeration Date
2021-04-20
Last Update Date
2021-04-20
Business Address
BAILIE YOUNGSTROM LCSW
756 WINFREE AVE
LAKELAND, FL 33801-5556
Phone number: 443-863-9678
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Mailing Address
BAILIE YOUNGSTROM LCSW
756 WINFREE AVE
LAKELAND, FL 33801-5556
Phone number: 443-863-9678
Copy
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