Individual
HANNATU T WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 WEST ST, HYDE PARK, MA 02136-1552
(781) 228-8364
Mailing address
265 WEST ST, HYDE PARK, MA 02136-1552
(781) 228-8364
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106E00000X
LAMOUR CLINIC
MA
Enumeration date
05/26/2020
Last updated
05/26/2020
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