Most Relevant Information
Provider Data
| NPI Number: | 1003548058 |
| Provider Name: | MONIQUE YOUNG |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/28/2022 |
| Last Updated: | 06/28/2022 |
Provider Practice Location
7302 N 38TH ST
MILWAUKEE
WI
532091939
Practice Location Phone/Fax
| Phone: | 4147391180 |
| Fax: |
Provider Mailing Location
7302 N 38TH ST
MILWAUKEE
WI
532091939
Provider Mailing Phone/Fax
| Phone: | 4147391180 |
| Fax: |