Provider Information for 1073228201
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Ms. LESLI D WHITE LPC
Sex: Female
NPI: 1073228201
Last Updated: 2023-01-23
Certification Date: 2023-01-22
Certification Date: 2023-01-22
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1073228201 | ||||||||
| Enumeration Date | 2023-01-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 603 MIKESKA ST AMARILLO, TX 79118-1721 United States Phone: 806-676-1228 | Fax: | ||||||||
| Primary Practice Address | 603 MIKESKA ST AMARILLO, TX 79118-1721 United States Phone: 806-676-1228 | Fax: | ||||||||
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