White, Therese Marie

White, Therese Marie is an sole proprietor health care provider with primary practice located at 37 W 950 Heaton Drive , Batavia IL 60510. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. White, Therese Marie can be contacted via phone (630) 508-4545.

Contact Information

Primary practice address
37 W 950 Heaton Drive Batavia IL 60510
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.012729 Illinois
Behavioral Health & Social Service Providers / School 1041S0200X 149.012729 Illinois

Profile Details

NPI number 1295087765
LBN Legal business name White, Therese Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2012
Last updated Oct 11th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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