Individual
MR. RICHARD LAMAR WHITE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
611 LINCOLN WAY E, SOUTH BEND, IN 46601-3212
(574) 360-4066
Mailing address
5018 SCENIC DR, SOUTH BEND, IN 46619-2411
(574) 904-0021
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33012504A
IN
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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