Organization
ALICE MIRIAM MARJORIE WOODSON WHITE, LCSW, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICE MIRIAM MARJORIE WOODSON WHITE L.C.S.W. (PRESIDENT)
(631) 352-9735
Entity
Organization
Contact information
Practice address
249 MAIN ST STE 2, SETAUKET, NY 11733-2919
(631) 675-9494
(631) 675-6410
Mailing address
101 MAIN ST UNIT 2381, SETAUKET, NY 11733-6016
(631) 675-9494
(631) 675-6410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
08/04/2022
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