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NPI Code Detail

MEDICARE: MS. MARY ANN WHITE MSW

MEDICARE:  MS. MARY ANN WHITE  MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerISW5596FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ISW5596OTHERFLREGISTERED SOCIAL WORK INTERN

General Provider Information

NPI Number : 1427351634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY ANN WHITE MSW
Provider Business Mailing Address
First Line : 3750 N JOG RD # 3206
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-7451
Country : US
Telephone Number : 561-358-0186
Fax Number :
Provider Business Practice Location Address
First Line : 3750 N JOG RD # 3206
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-7451
Country : US
Telephone Number : 561-358-0186
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2010
Last Update Date : 12/09/2010

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Directions to “ MS. MARY ANN WHITE MSW” Practice Location

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