Deidra White
NPI #1083461172 in Saint Clair, Michigan
Provider Information
- NPI Number
- 1083461172
- Entity Type
- Individual
- Name
- Deidra White
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 6, 2024
- Last Updated
- May 6, 2024
Practice Location
- Address
- 1159 S CARNEY DR
- City
- Saint Clair
- State
- Michigan
- ZIP Code
- 48079-5569
- Phone
- (866) 498-3909
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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