Clarice Marie White

NPI #1255924692 in Eagan, Minnesota

Provider Information

NPI Number: 1255924692
Entity Type: Individual
Name: Clarice Marie White
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 17, 2021
Last Updated: Feb 17, 2021

Practice Location

Address: 4635 NICOLS RD # 104
City: Eagan
State: Minnesota
ZIP Code: 55122-3337
Phone: (612) 289-6480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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