Individual
VANSWAN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
604 W 4TH ST, SAN BERNARDINO, CA 92410-3216
(909) 723-1695
Mailing address
604 W 4TH ST, SAN BERNARDINO, CA 92410-3216
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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