| White | |
|
2121 Eisenhower Ave Ste 301 Alexandria VA 22314-4688 | |
| (202) 657-1500 | |
| (240) 846-5999 |
| Full Name | White |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2121 Eisenhower Ave Ste 301, Alexandria, Virginia |
| Authorized Official Name and Position | Chantay P White-eley (OWNER) |
| Authorized Official Contact | 2535768514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White 316 Lismore Dr Fort Washington MD 20744-6512 Ph: (202) 657-1500 | White 2121 Eisenhower Ave Ste 301 Alexandria VA 22314-4688 Ph: (202) 657-1500 |
| NPI Number | 1295237634 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295237634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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