Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | TX |
NPI | 1003030016 |
---|---|
Provider Name | Julia Salazar Young |
First Address | Denton, TX 76205-4992 |
Second Address | Denton, TX 76210-3424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 04/05/2012 |