Individual
MS. TERRY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
400 E. PRATT ST., SUITE 800, BALTIMORE, MD 21202-3504
(443) 759-3115
Mailing address
801 KEY HIGHWAY, SUITE 442, BALTIMORE, MD 21230-3504
(301) 758-3682
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
17157
MD
251S00000X
Community/Behavioral Health Agency
Primary
17157
MD
253J00000X
Foster Care Agency
17157/0896
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091029500
—
MD
Enumeration date
08/16/2011
Last updated
08/12/2015
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