Individual
MS. PENELOPE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GSW
Contact information
Practice address
4781 S GRAND ST, MONROE, LA 71202-6403
318362543
(318) 362-5428
Mailing address
157 LEISURE DR, MONROE, LA 71203-2807
(318) 362-4506
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6394
LA
Other
Enumeration date
08/12/2006
Last updated
07/21/2022
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