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Individual

ADAM WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
2517 MLK JR BLVD, EUGENE, OR 97401-5898
(541) 342-4293
(541) 342-4832
Mailing address
1790 W 11TH AVE, EUGENE, OR 97402-3758
(541) 686-2611

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
104100000X
Social Worker

Other

Enumeration date
09/05/2013
Last updated
09/05/2013
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