Individual
JEANETTE MINA-WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 E MAIN ST, 3RD FLOOR, WATERBURY, CT 06702-2310
(203) 575-0466
(203) 575-1817
Mailing address
141 E MAIN ST, 3RD FLOOR, WATERBURY, CT 06702-2310
(203) 575-0466
(203) 575-1817
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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