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Individual

BARBARA CAROLINE WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
111 S 1ST ST, STE 103, MADISON, WI 53704-5236
(608) 212-3491
Mailing address
111 S 1ST ST, STE 103, MADISON, WI 53704-5236
(608) 212-3491

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6634-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39798100
WI
Enumeration date
03/28/2007
Last updated
01/15/2016
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