NPI 1134975063

Cindy Young

Practitioner Peer Specialist Clarksdale, MS

Practice location

Address: 110 Yazooave Suite 104, Clarksdale, MS 38614
Phone: (662) 592-5031
Fax: (318) 210-0547
Mailing address: 445 Prince Ave, Clarksdale, MS 38614-5819

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1134975063
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2024
Record last updated: 30 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.