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Individual
JACLYN MAE WHITE
Active
Individual
JACLYN MAE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
120143
TX
1041C0700X
Clinical Social Worker
Primary
120183
MA
1041C0700X
Clinical Social Worker
Primary
219224
MA
Other
Enumeration date
06/11/2013
Last updated
09/09/2026
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