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Individual

IAN TAYLOR WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LISCSW

Contact information

Practice address
4855 W ARROWHEAD RD, HERMANTOWN, MN 55811-3936
(218) 786-3540
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1041C0700X
Clinical Social Worker
Primary
30764
MN

Other

Enumeration date
04/11/2022
Last updated
04/30/2025
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