Individual
RUSSELL ELMER WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
32 EMERALD STREET, KEENE, NH 03431
(603) 352-6649
Mailing address
17 93RD STREET, KEENE, NH 03431
(603) 357-5270
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
04/01/2009
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