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Individual
GRACE WHITE
Active
Individual
GRACE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-HIS
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC05542
AL
237700000X
Hearing Instrument Specialist
4169
AL
Other
Enumeration date
10/02/2015
Last updated
03/24/2025
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