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General NPI Number Information
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NPI Number | 1043837248
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Entity Type | Individual
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Provider Name | BRITTNEY CHANTELL WHITE LCSW, LISW-CP
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Gender | Female
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Dates
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Enumeration Date | 07/03/2020
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 41 PARK CREEK DR
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City | GREENVILLE
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State | SC
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Zip | 29605-4270
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Country | US
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Telephone | 864-640-0065
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Fax |
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Provider Business Mailing Address
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Address Line | 11 MCGUIRES PL
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City | SIMPSONVILLE
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State | SC
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Zip | 29680-8038
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Country | US
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Telephone | 864-640-0065
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 16364
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C016261
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 112903
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P014609
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License Number State | NC
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