Individual
DAPHANIE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 LONG CIR, ROANOKE RAPIDS, NC 27870-3162
(252) 535-6400
Mailing address
411 JERNIGAN AIRPORT RD, AHOSKIE, NC 27910-9383
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A12523
NC
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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