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Individual
MYA WHITE
Active
Individual
MYA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801121613
MI
104100000X
Social Worker
Primary
6851117031
MI
172V00000X
Community Health Worker
20250162
MI
Other
Enumeration date
01/22/2024
Last updated
01/22/2026
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