Individual
MS. MARY T WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68 EXCHANGE ST W, SAINT PAUL, MN 55102-1006
(651) 222-4373
(651) 777-4442
Mailing address
2675 LARPENTEUR AVE E, SAINT PAUL, MN 55109-5003
(651) 777-8181
(651) 777-4442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04268
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
610098800
—
MN
Enumeration date
02/20/2008
Last updated
12/31/2008
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