Individual
DEIRDRE ANN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
37 BELMONT STREET, BROCKTON, MA 02301
(508) 580-4691
Mailing address
37 BELMONT STREET, BROCKTON, MA 02301-1041
(508) 580-4691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111500
MA
Other
Enumeration date
10/25/2006
Last updated
09/17/2008
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