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1427151646
KEITH B WHITE
CHAMPAIGN, IL
NPI
1427151646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: IL 071006213)
Enumeration Date
2006-09-06
Last Update Date
2014-05-16
Business Address
KEITH B WHITE PHD
1701 W. CURTIS ROAD PSYCHOLOGY
CHAMPAIGN, IL 61822
Phone number: 217-365-6206
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Mailing Address
KEITH B WHITE PHD
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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