Individual
PRISCILLA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW, M.ED, LPC
Contact information
Practice address
3601 4TH ST STOP 8103, LUBBOCK, TX 79430-8103
(806) 743-5607
Mailing address
3601 4TH ST STOP 8103, LUBBOCK, TX 79430-8103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
68563
TX
104100000X
Social Worker
Primary
52818
TX
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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