Individual
GRACE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2006 WHITTAKER CT, DISTRICT HEIGHTS, MD 20747-2559
(410) 294-2456
Mailing address
7325 KERRY HILL CT, COLUMBIA, MD 21045-5024
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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