Individual
CHEYENNE TARA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
3601 W BROADWAY APT 24201, COLUMBIA, MO 65203-7922
(816) 213-9276
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2021006609
MO
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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