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Individual
JEANNE BRACKER WHITE
Active
Individual
JEANNE BRACKER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
MFC 36439
CA
106H00000X
Marriage & Family Therapist
MFC 36439
CA
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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