Doctor Name: | DOREEN WHITE |
NPI Number: | 1073636106 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 210348 |
Business Practice Address: | 500 W Cummings Park Suite 3900 Woburn, MA - 018016503 |
Business Phone Number: | 7818716550 |
Business Fax Number: | |
Mailing Address: | 6 Joyce Heard Ave, SALEM |
State: | NH |
Postal Code: | 030794220 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 210348 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |