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Search › Indiana › 101YA0400X

Cleotis White, M.S.W., L.C.A.C

NPI 1619229317 · on the registry since 2012 · sole proprietor

Practice

Address
2646 Highway Ave Ste 108
Highland, IN 46322
Phone
(219) 801-1789
Fax
(219) 513-9506
Organisation at this address
Medac2018
Icg Services, Llc
Dessie Kammer Llc
Spectrumone Care Indiana
Destiny Home Healthcare Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YP2500X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana