Kelly Grace White, LMSW

NPI #1396273801 in Northford, Connecticut

Provider Information

NPI Number: 1396273801
Entity Type: Individual
Name: Kelly Grace White, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: May 28, 2017
Last Updated: May 28, 2017

Practice Location

Address: 41 SPRUCE ST
City: Northford
State: Connecticut
ZIP Code: 06472-1437
Phone: (203) 871-9984

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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