Individual
DEIDRE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
6471 ARBOR GATE DR SW, MABLETON, GA 30126-4465
(678) 575-7959
Mailing address
6471 ARBOR GATE DR SW, MABLETON, GA 30126-4465
(678) 575-7959
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001458
GA
Other
Enumeration date
03/22/2016
Last updated
06/03/2022
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