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Individual
WAYNE WHITE
Active
Individual
WAYNE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802088435
MI
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
01/13/2016
Last updated
01/19/2021
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