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Individual

BRITTANY NICOLE WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
300 W SWANSON AVE, WASILLA, AK 99654-6844
(907) 357-0890
Mailing address
PO BOX 874206, WASILLA, AK 99687-4206
(978) 807-6407

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
125684
AK
235Z00000X
Speech-Language Pathologist
1407
NH
235Z00000X
Speech-Language Pathologist
8646
MA

Other

Enumeration date
05/23/2019
Last updated
05/23/2019
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