Provider Information for 1558847889
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SHARICE JANEI WHITE LCSW
Other Names:Other Name:Mrs. SHARICE JANEI SMARTSex: Female
NPI: 1558847889
Last Updated: 2023-09-25
Certification Date: 2023-09-25
Certification Date: 2023-09-25
Details
Name | Value | ||||||||||||
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NPI | 1558847889 | ||||||||||||
Enumeration Date | 2018-07-19 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 22919 MERRICK BLVD # 710 LAURELTON, NY 11413-2108 United States Phone: 929-260-0383 | Fax: | ||||||||||||
Primary Practice Address | 140-70 QUEENS BLVD FOREST HILLS, NY 11375 United States Phone: 718-275-6010 | Fax:718-275-6062 | ||||||||||||
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