Individual
ANGIE RENEE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 S 3RD ST, NEWARK, OH 43055-5335
(740) 345-6246
(740) 345-3697
Mailing address
152 IRVING WICK DR E LOT 17, HEATH, OH 43056-9111
(740) 616-1732
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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