Individual
MRS. LAURIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
31215 FLORALVIEW DR S APT 204, FARMINGTON HILLS, MI 48331-5869
(313) 389-7500
Mailing address
31215 FLORALVIEW DR S APT 204, FARMINGTON HILLS, MI 48331-5869
(248) 321-0459
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
6802089077
MI
Other
Enumeration date
12/10/2013
Last updated
08/08/2016
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