Individual
BRYANNA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
506 STEWART AVE, GARDEN CITY, NY 11530-4706
(516) 705-3400
Mailing address
7 FERRET LN, EAST SETAUKET, NY 11733-3604
(631) 664-8481
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109476-01
NY
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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