Individual
MIRANDA R WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1616 CEDAR ST, MUSCATINE, IA 52761-3453
(309) 779-3000
Mailing address
PO BOX 126, JOY, IL 61260-0126
(309) 507-2292
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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