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1801133657
KENNETH RAY WHITE
PORT ST LUCIE, FL
NPI
1801133657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2013-01-14
Last Update Date
2013-01-14
Business Address
DR. KENNETH RAY WHITE PH.D.
512 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34953-1943
Phone number: 772-873-8811
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Mailing Address
DR. KENNETH RAY WHITE PH.D.
512 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34953-1943
Phone number: 772-873-8811
Copy
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