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1063149250
KATHELENE MARIE WHITE
JACKSON, TN
NPI
1063149250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN LSW0000012084)
Enumeration Date
2022-08-06
Last Update Date
2022-08-06
Business Address
KATHELENE MARIE WHITE LMSW
109 E LAFAYETTE ST
JACKSON, TN 38301-7971
Phone number: 901-930-7397
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Mailing Address
KATHELENE MARIE WHITE LMSW
116 VANDEN ST APT 106
JACKSON, TN 38301-5690
Phone number: 731-697-3432
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