Individual
MS. MADELINE RAE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1437 MILITARY CUTOFF RD, WILMINGTON, NC 28403-3637
(910) 240-2489
Mailing address
309 MOHICAN TRL, WILMINGTON, NC 28409-3422
(910) 409-4439
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6958
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
01/16/2026
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