Individual
MAKENZI LAUREN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 S 4TH ST, GADSDEN, AL 35901-4213
(256) 459-5499
(256) 907-5155
Mailing address
1842 CAROLINE CT, SOUTHSIDE, AL 35907-5245
(256) 438-9077
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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