Fleta Joy Youngblood, LBSW

NPI #1891818803 in Jasper, Texas

Provider Information

NPI Number: 1891818803
Entity Type: Individual
Name: Fleta Joy Youngblood, LBSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LBSW
Enumeration Date: Apr 6, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 139 W LAMAR ST
City: Jasper
State: Texas
ZIP Code: 75951-4014
Phone: (409) 384-6829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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