Individual
ROBERTA L WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 772-8189
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
(502) 772-8189
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1415
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100289480
—
KY
Enumeration date
08/30/2006
Last updated
04/15/2021
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