Provider Information for 1801129416
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Ms. TAMMY L. WHITE LMSW
Sex: Female
NPI: 1801129416
Last Updated: 2014-01-23
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1801129416 | ||||||||
| Enumeration Date | 2009-09-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2595 W. HIGHWAY 66 GRANTS, NM 87020 United States Phone: 505-285-5451 | Fax:505-285-6436 | ||||||||
| Primary Practice Address | 2595 WEST HIGHWAY 66 GRANTS, NM 87020 United States Phone: 505-285-5451 | Fax:505-285-6436 | ||||||||
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