Individual
MIONNAH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 W RANDOL MILL RD, ARLINGTON, TX 76012-3113
(817) 447-3001
Mailing address
2915 S BURLESON BLVD, BURLESON, TX 76028-1878
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/05/2018
Last updated
03/09/2018
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