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Kimberly Irene Young

Social Worker, Clinical in Wilmington, IL. Individual provider (NPI-1).

NPI number1669100293
StatusActive
Last updated in NPPESAug 11, 2022

Details

NPI
1669100293
Entity type
Individual (NPI-1)
Name
Kimberly Irene Young
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 11, 2022
Certification date
Aug 11, 2022
Last updated
Aug 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical14908375ILYes

Practice location

718 E Baltimore St
Wilmington, IL 60481-1244

Phone 815-474-2468

Mailing address

718 E Baltimore St
Wilmington, IL 60481-1244

Phone 815-474-2468

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Other Clinical Social Worker providers in Wilmington, IL

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