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Individual
MS. STEPHANIE ANN WHITE
Active
Individual
MS. STEPHANIE ANN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
09047005918
VA
1041C0700X
Clinical Social Worker
Primary
2011041571
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010227780
—
VA
01
—
186803
ANTHEM HEALTHKEEPERS
VA
Enumeration date
04/08/2006
Last updated
05/30/2012
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