Individual
NYTISHA LASHEA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2519 RUNNING STREAM CT, ANDERSON, IN 46011-4769
(702) 237-8063
Mailing address
2519 RUNNING STREAM CT, ANDERSON, IN 46011-4769
(765) 274-1464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005034A
IN
1041C0700X
Clinical Social Worker
5341-C
NV
Other
Enumeration date
04/11/2006
Last updated
05/16/2024
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