Individual
MS. THELMA JEAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.B.S.W., M.S.W.
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2951
Mailing address
PO BOX 206, KYKOTSMOVI, AZ 86039-0206
(928) 458-6719
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LBSW-11358
AZ
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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