Individual
REGINA WHITEHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 E HIGHLANDS AVE, ATLANTA, TX 75551-2322
(903) 733-2978
Mailing address
702 E HIGHLANDS AVE, ATLANTA, TX 75551-2322
(903) 733-2978
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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