Individual
KIMBERLY B. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 MARTIN L KING ST S, BASTROP, LA 71220-5443
(318) 283-1600
(318) 281-4910
Mailing address
1607 MARTIN L KING ST S, BASTROP, LA 71220-5443
(318) 283-1600
(318) 281-4910
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
5159
LA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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