Individual
DARRYL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 WHITE ST, MCCOMB, MS 39648-2711
(601) 684-2173
(604) 249-4234
Mailing address
1576 WELLMAN DR SE, BROOKHAVEN, MS 39601-4728
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M3168
MS
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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