Individual
MRS. TAMMIE KAY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2405 28TH ST, ANACORTES, WA 98221-2484
(360) 333-5684
Mailing address
2405 28TH ST, ANACORTES, WA 98221-2484
(360) 333-5684
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031861
—
LA
Enumeration date
08/23/2007
Last updated
12/17/2019
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