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Individual

MRS. STEFANIE DANITA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAS

Contact information

Practice address
1504 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1213
(704) 645-8539
(704) 645-9003
Mailing address
1504 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1213
(704) 645-8539
(704) 645-9003

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26117
NC

Other

Enumeration date
12/04/2019
Last updated
12/04/2019
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