Individual
JOSHUA ALEXANDER WHITE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
340 TIFTON ELDORADO RD, TIFTON, GA 31794-9497
(229) 391-2309
Mailing address
4238 WILSHIRE DR, VALDOSTA, GA 31605-7020
(229) 391-2309
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003291
GA
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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