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Individual

MS. KRISTLE R. WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., TLLP

Contact information

Practice address
35640 W MICHIGAN AVE, WAYNE, MI 48184-1628
(734) 729-7792
(734) 729-7938
Mailing address
11187 JIM PL, WARREN, MI 48089-1069
(586) 770-9978

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
L1950490
MI

Other

Enumeration date
05/23/2012
Last updated
05/23/2012
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