Individual
JILLIA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2423 ELMHURST BLVD NW, KENNESAW, GA 30152-6006
(678) 833-8010
Mailing address
2423 ELMHURST BLVD NW, KENNESAW, GA 30152-6006
(678) 833-8010
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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