Individual
JOYCE A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 864-2160
(219) 864-2599
Mailing address
PO BOX 1000, DYER, IN 46311-0800
(219) 864-2107
(219) 864-2649
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90000854
BCBSIL
IL
Enumeration date
11/30/2006
Last updated
07/20/2011
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