Individual
MRS. DEANA MCMAHON WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC, CADC-M, LBSW
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
L2470511
MI
1041C0700X
Clinical Social Worker
6802085993
MI
Other
Enumeration date
02/03/2011
Last updated
07/23/2013
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