Individual
CORI WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 S CENTRE AVE, LEESPORT, PA 19533
(484) 258-2801
Mailing address
1240 WOODCREST DR, READING, PA 19607-2216
(610) 413-7555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
03/04/2019
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