Individual
LEXUS GABRIELLE WHITE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LISW-CP
Contact information
Practice address
9237 NW 86TH ST, YUKON, OK 73099-6194
(304) 590-2955
Mailing address
9237 NW 86TH ST, YUKON, OK 73099-6194
(304) 590-2955
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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