Individual
ANNE M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1086 E BEPLATE LN, POTLATCH, ID 83855-9762
(509) 936-1633
Mailing address
1086 E BEPLATE LN, POTLATCH, ID 83855-9762
(509) 936-1633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RC00052272
WA
1041C0700X
Clinical Social Worker
Primary
LW60130389
WA
Other
Enumeration date
11/07/2006
Last updated
10/21/2022
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