Individual
MRS. AMANDA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
147 LINKS DR APT 44C, CANTON, MS 39046-5256
(662) 571-6149
Mailing address
147 LINKS DR APT 44C, CANTON, MS 39046-5256
(662) 571-6149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8301
MS
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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