Tracey Antionette White, MSW, LCSW Valid NPI
Individual provider · Clinical Social Worker · Florissant, MO
- NPI
- 1619267051
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 2011007388 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-04-18
- Last updated
- 2019-06-06
Practice location
6720 Lakeside Hills Dr
Florissant, MO 63033-5214
(314) 877-9045