Individual
MR. JOHN STEPHEN WHITE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
98 BYRON DR, SMITHSBURG, MD 21783-1565
(301) 824-3658
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11299
MD
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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