Provider Information for 1508987132
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Mrs. LAURA WHITE LCSW
Other Names:Professional Name:Mrs. LAURA E WHITE LCSWSex: Female
NPI: 1508987132
Last Updated: 2010-09-20
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1508987132 | ||||||||
| Enumeration Date | 2007-04-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 101 PONQUOGUE AVE HAMPTON BAYS, NY 11946-2503 United States Phone: 631-645-1258 | Fax:631-728-2214 | ||||||||
| Primary Practice Address | 101 PONQUOGUE AVE HAMPTON BAYS, NY 11946-2503 United States Phone: 631-645-1258 | Fax:631-728-2214 | ||||||||
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