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Individual
LAURA WHITE
Active
Individual
LAURA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00861
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033259478
—
RI
Enumeration date
03/08/2021
Last updated
03/08/2021
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