Individual
KURT WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0001107
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089-0001107
LICENSE
VT
05
—
1012660
—
VT
Enumeration date
09/07/2006
Last updated
01/22/2014
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