Individual
TAMEKA LASHAY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
239 HERITAGE DR, MADISON, MS 39110-9401
(601) 670-5831
Mailing address
239 HERITAGE DR, MADISON, MS 39110-9401
(601) 670-5831
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M10548
MS
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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