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Individual

JILL C WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
7695 S COUNTY ROAD 25A, TIPP CITY, OH 45371-9215
(937) 667-4678
(937) 667-4963
Mailing address
7695 S COUNTY ROAD 25A, TIPP CITY, OH 45371-9215
(937) 667-4678
(937) 667-4963

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S-2172
OH

Other

Enumeration date
03/06/2007
Last updated
07/08/2007
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