Individual
MRS. ANDREA LEE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
175 S MAIN ST, CANTON, IL 61520-2670
(309) 649-6813
(309) 649-6814
Mailing address
103 S MAIN ST, PO BOX 343, CANTON, IL 61520-2607
(309) 649-6813
(309) 649-6813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011785
IL
Other
Enumeration date
02/21/2016
Last updated
09/22/2016
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