Individual
LORIE A. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 W STATE ST, ITHACA, NY 14850-5474
(607) 273-7494
Mailing address
127 W STATE ST, ITHACA, NY 14850-5474
(607) 273-7494
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
221700000X
Art Therapist
Primary
001077
NY
Other
Enumeration date
06/08/2009
Last updated
04/03/2021
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