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Individual

CIERA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15 W 139TH ST, 12 G, NEW YORK, NY 10037-1503
(347) 825-5041
Mailing address
15 W 139TH ST, 12 G, NEW YORK, NY 10037-1503
(347) 825-5041

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/05/2016
Last updated
10/05/2016
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