Individual
MRS. MISTI ELISE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5283 OLD BROWNSVILLE RD, CORPUS CHRISTI, TX 78405-3908
(361) 248-4830
Mailing address
703 E LAUREL ST, ROCKPORT, TX 78382-4225
(817) 676-2518
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
58623
TX
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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