Provider Information for 1740021955
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CHRISTY LEANN WHITE LISW-CP
Sex: Female
NPI: 1740021955
Last Updated: 2024-06-03
Certification Date: 2024-06-03
Certification Date: 2024-06-03
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1740021955 | ||||||||
| Enumeration Date | 2024-06-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 718 POSTON DR ROCK HILL, SC 29732-7838 United States Phone: 803-487-1365 | Fax: | ||||||||
| Primary Practice Address | 718 POSTON DR ROCK HILL, SC 29732-7838 United States Phone: 803-487-1365 | Fax: | ||||||||
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