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Individual
MR. TAVORRIS D. WHITE
Active
Individual
MR. TAVORRIS D. WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
009771
GA
171W00000X
Contractor
—
—
Other
Enumeration date
04/20/2012
Last updated
05/18/2021
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