Individual
KRISTIN T WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
100 TYLER AVE, CLARKSBURG, WV 26301-3863
(304) 704-8936
Mailing address
100 TYLER AVE, CLARKSBURG, WV 26301-3863
(304) 704-8936
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
DP00945130
WV
Other
Enumeration date
05/24/2018
Last updated
01/25/2021
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