Individual
COLLEEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3680 WARWICK RD, EAST NEW MARKET, MD 21631-1420
(410) 943-8108
(410) 943-3976
Mailing address
PO BOX 489, SECRETARY, MD 21664-0489
(410) 943-8108
(410) 943-3976
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24121
MD
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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