Individual
JOHN CHARLES WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
502 BLAKELY ST.,, DUNMORE, PA 18512
(570) 344-9266
Mailing address
529 WHEELER AVE, SCRANTON, PA 18510
(570) 346-7504
(570) 941-4256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013832
PA
Other
Enumeration date
09/05/2012
Last updated
01/22/2013
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