Individual
MRS. ADA MARLENE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SERVICE COORDINATOR
Contact information
Practice address
5235 DANIELS FORK RD, ASHLAND, KY 41102-8049
(606) 928-5528
Mailing address
5235 DANIELS FORK RD, ASHLAND, KY 41102-8049
(606) 928-5528
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
FS01866
KY
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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