Individual
ANNALISA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S. DONATION ST., TIOGA, TX 76271
(866) 656-8384
Mailing address
100 S. DONATION ST., TIOGA, TX 76271
(866) 656-8384
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
77434
TX
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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