Individual
DORIAN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2904 S 70TH ST, BOX 33079, PHILADELPHIA, PA 19142-2565
(215) 313-9944
Mailing address
PO BOX 33079, PHILADELPHIA, PA 19142-0079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/21/2014
Last updated
06/15/2017
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