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Individual

MR. JOHN WILLIAM WHITE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
9 ELM RD, CROMWELL, CT 06416-2164
(860) 316-5577
Mailing address
9 ELM RD, CROMWELL, CT 06416-2164
(860) 316-5577

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008258
CT

Other

Enumeration date
10/03/2013
Last updated
10/03/2013
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