Individual
MISS DAISY KAY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2207 E 5TH ST, SUPERIOR, WI 54880
(218) 212-3435
Mailing address
2213 E SUMMIT TRL, FOXBORO, WI 54836-9515
(715) 817-8752
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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