Individual
BRET WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1500 W ASHLAND ST, NEVADA, MO 64772-1710
(417) 667-2666
Mailing address
608 MALLORY DR, BELTON, MO 64012-2040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001538
MO
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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