Individual
CARLA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3308 W APOLLO RD, PHOENIX, AZ 85041-5267
(708) 674-3893
Mailing address
PO BOX 1761, PHOENIX, AZ 85001-1761
(480) 504-6208
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19662
AZ
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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