Young, Derandoria Ann
Young, Derandoria Ann is an individual health care provider with primary practice located at 280 1St St Bldg 17, Holloman Afb NM 88330-8273. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Young, Derandoria Ann can be contacted via phone (575) 572-7061.Contact Information
Primary practice address
280 1St St Bldg 17
Holloman Afb NM 88330-8273
Phone: (575) 572-7061
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | PCSW-507 | Wyoming |
Profile Details
| NPI number | 1376896183 |
|---|---|
| LBN Legal business name | Young, Derandoria Ann |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2012 |
| Last updated | Oct 17th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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