Individual
KRISTI RENEE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
423 N MARKET ST, MARYVILLE, MO 64468
(660) 562-3000
(660) 562-3002
Mailing address
423 N MARKET ST, MARYVILLE, MO 64468-1614
(660) 562-3000
(660) 562-3002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2012003645
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629336177
—
MO
Enumeration date
05/02/2012
Last updated
08/22/2018
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