Individual
DENISE ANN-MARIE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1963 TULIP PETAL RD, AUBURN, GA 30011-2160
(845) 541-2439
Mailing address
1963 TULIP PETAL RD, AUBURN, GA 30011-2160
(845) 541-2439
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW007812
GA
251S00000X
Community/Behavioral Health Agency
MSW007812
GA
405300000X
Prevention Professional
MSW007812
GA
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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