Individual
MS. JILL YANTKO WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MS, EDS
Contact information
Practice address
13 S HIGH ST, MORGANTOWN, WV 26505
(304) 624-6554
(304) 624-5223
Mailing address
1201 N 15TH STREET, CLARKSBURG, WV 26301
(304) 624-6554
(304) 624-5223
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
6503
WV
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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