Individual
KATHELENE MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
109 E LAFAYETTE ST, JACKSON, TN 38301-7971
(901) 930-7397
Mailing address
116 VANDEN ST APT 106, JACKSON, TN 38301-5690
(731) 697-3432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000012084
TN
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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