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Individual

EARL WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
519 XENIA AVE, DAYTON, OH 45410-1823
(937) 248-1682
Mailing address
519 XENIA AVE, DAYTON, OH 45410-1823
(937) 248-1682

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
188545
OH

Other

Enumeration date
09/18/2024
Last updated
09/18/2024
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