Provider Demographics
NPI:1861980286
Name:YUNG, SARA JANE
Entity type:Individual
Prefix:MISS
First Name:SARA
Middle Name:JANE
Last Name:YUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 E E ST
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:WY
Mailing Address - Zip Code:82240-2939
Mailing Address - Country:US
Mailing Address - Phone:307-575-5517
Mailing Address - Fax:
Practice Address - Street 1:1825 E E ST
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:WY
Practice Address - Zip Code:82240-2939
Practice Address - Country:US
Practice Address - Phone:307-575-5517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-01
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator