Provider Demographics
NPI:1265610554
Name:WHITE, DEBRA L (MSW)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:L
Last Name:WHITE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:DEBRA
Other - Middle Name:L
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:3601 S. 6TH AVENUE
Mailing Address - Street 2:4116-A
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85723
Mailing Address - Country:US
Mailing Address - Phone:520-792-1450
Mailing Address - Fax:520-629-4725
Practice Address - Street 1:3601 S 6TH AVE
Practice Address - Street 2:4116-A
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85723-0001
Practice Address - Country:US
Practice Address - Phone:520-792-1450
Practice Address - Fax:520-629-4725
Is Sole Proprietor?:No
Enumeration Date:2008-02-08
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator