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Individual

MRS. JEANNE LAREE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
6228 E. OLD SCHOOL RD., WELLPINIT, WA 99040
(509) 258-7502
(509) 258-4480
Mailing address
5232 C ALLEN RD., SPRINGDALE, WA 99173
(509) 258-9311

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW 00005869
WA

Other

Enumeration date
05/18/2009
Last updated
05/18/2009
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