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MRS. JEANNE LAREE WHITE LICSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1558596775

Individual Registrant:
MRS. JEANNE LAREE WHITE LICSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
6228 E. OLD SCHOOL RD.  WELLPINIT, WA 99040 US
Tel: 509-258-7502  Fax: 509-258-4480

Contact information for business:
5232 C ALLEN RD.  SPRINGDALE, WA 99173 US
Tel: 509-258-9311  Fax: --

Registration Information:
NPI: 1558596775
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
WALW 00005869

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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