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Individual

INA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Mailing address
402 WISCONSIN TRL, BROWNS MILLS, NJ 08015-5622
(605) 430-8166

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
26NR15499100
NJ

Other

Enumeration date
01/26/2015
Last updated
01/26/2015
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