Kelley White

NPI #1043336589 in Bolivar, Missouri

Provider Information

NPI Number
1043336589
Entity Type
Individual
Name
Kelley White
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Mar 22, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
104 W JACKSON ST
Address 2
B
ZIP Code
65613-1902
Phone
(417) 777-1458

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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