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Individual

DETRA V. WHITING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
2400 PRESIDENTS DR STE 150, MONTGOMERY, AL 36116-1618
(256) 861-0664
Mailing address
7806 VAUGHN RD # 1408, MONTGOMERY, AL 36116-1333
(256) 861-0664

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/20/2023
Last updated
08/09/2023
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