Individual
KERRY C WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1824 RIDGE AVE N, TIFTON, GA 31794-3441
(229) 391-6080
Mailing address
826 46TH ST E, TIFTON, GA 31794-1553
(229) 472-2593
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.025875
IL
1041C0700X
Clinical Social Worker
Primary
CSW008885
GA
Other
Enumeration date
04/26/2022
Last updated
12/08/2023
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