Individual
DEBRAH L WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
59 GRENIER ST, HANSCOM, AFB, MA 01731
(339) 202-4036
Mailing address
59 GRENIER ST, BLD 1507, HANSCOM, AFB, MA 01731
(330) 202-4036
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
124012
MA
1041C0700X
Clinical Social Worker
Primary
124012
MA
Other
Enumeration date
09/27/2016
Last updated
04/28/2026
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