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1902997497
MALCOLM OLIVER YOUNG
PINEVILLE, LA
NPI
1902997497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 593)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
Dr. MALCOLM OLIVER YOUNG PHD
2495 SHREVEPORT HWY
PINEVILLE, LA 71360-4044
Phone number: 318-473-0010
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Mailing Address
Dr. MALCOLM OLIVER YOUNG PHD
108 SADY LN
PINEVILLE, LA 71360-4610
Phone number: 318-308-5053
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DEPARTMENT OF HEALTH AND HOSPITALS