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Individual

MRS. DARLENE SANDRA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC LICENSED ADDICTI

Contact information

Practice address
510 8TH AVE NE, HAZEN, ND 58545
(701) 748-3888
Mailing address
510 8TH AVE NE, HAZEN MEMORIAL HOSPITAL ASSOCIATION, HAZEN, ND 58545
(701) 748-2225
(701) 748-3889

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1007
ND

Other

Enumeration date
07/31/2008
Last updated
06/17/2010
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