Individual
MR. KEVIN THOMAS WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
296 SPERRY LOOP, WAHIAWA, HI 96786-4119
(256) 499-5990
Mailing address
296 SPERRY LOOP, WAHIAWA, HI 96786-4119
(256) 499-5990
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09926075
CO
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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