Individual
MARY G. MIRANDA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8671 WOLFF CT, SUITE 220-C, WESTMINSTER, CO 80031-3609
(720) 485-7945
Mailing address
10859 W 70TH AVE, ARVADA, CO 80004-1306
(720) 485-7945
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/06/2012
Last updated
03/13/2015
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