Individual
JOAN M WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4505 KIMBALL LN, WINSTON SALEM, NC 27105-3212
(336) 682-0262
(336) 600-2350
Mailing address
4505 KIMBALL LN, WINSTON SALEM, NC 27105-3212
(336) 682-0262
(336) 600-2350
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
034-417
NC
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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