Detra V. Whiting, LICSW

NPI #1912605858 in Montgomery, Alabama

Provider Information

NPI Number: 1912605858
Entity Type: Individual
Name: Detra V. Whiting, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LICSW
Enumeration Date: Feb 20, 2023
Last Updated: Aug 9, 2023

Practice Location

Address: 2400 PRESIDENTS DR STE 150
City: Montgomery
State: Alabama
ZIP Code: 36116-1618
Phone: (256) 861-0664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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