Individual
KIERA N WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1819 BERGEN ST, BROOKLYN, NY 11233-4513
(718) 221-4500
Mailing address
290 DUNCAN AVE FL 2, JERSEY CITY, NJ 07306-7001
(347) 691-4534
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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