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Provider Information for 1033311105


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TONI N BRINSON WHITE LCSW


Sex: Female

NPI: 1033311105
Last Updated: 2024-02-26
Certification Date: 2024-02-26

Details

NameValue
NPI1033311105
Enumeration Date2007-06-01
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 11101 DOTY AVE
INGLEWOOD, CA 90303-2723
United States

Phone: 310-991-0141 | Fax:
 
Primary Practice Address 11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
United States

Phone: 310-478-3711 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalCA23373
No 101Y00000X - Counselor CA25142