Provider Information for 1912056573
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Ms. RENEE S WHITE LCSW
Sex: Female
NPI: 1912056573
Last Updated: 2013-05-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1912056573 | ||||||||
| Enumeration Date | 2007-01-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2670 DURHAM CHAPEL HILL BLVD DURHAM, NC 27707-2829 United States Phone: 919-251-9001 | Fax:919-251-9008 | ||||||||
| Primary Practice Address | 2670 DURHAM CHAPEL HILL BLVD DURHAM, NC 27707-2829 United States Phone: 919-251-9001 | Fax:919-251-9008 | ||||||||
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