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Individual

MARY KATHLEEN WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED. LPC

Contact information

Practice address
2401 ARLINGTON AVE S, BIRMINGHAM, AL 35205-4113
(205) 933-0041
Mailing address
PO BOX 55901, BIRMINGHAM, AL 35255-5901

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3185
AL

Other

Enumeration date
10/03/2013
Last updated
10/03/2013
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