Individual
LEXUS GABRIELLE WHITE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LISW-CP
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21840
OK
104100000X
Social Worker
Primary
BP00945246
WV
1041C0700X
Clinical Social Worker
Primary
21840
OK
Other
Enumeration date
10/23/2018
Last updated
05/16/2026
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