Mercideze Alexis White, LICSW
Social Worker, Clinical in Bemidji, MN. Individual provider (NPI-1).
NPI number1831913086
StatusActive
Last updated in NPPESNov 14, 2024
Details
- NPI
- 1831913086
- Entity type
- Individual (NPI-1)
- Name
- Mercideze Alexis White
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 14, 2024
- Certification date
- Nov 12, 2024
- Last updated
- Nov 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 27749 | MN | Yes |
Practice location
2930 Florence Ln NwBemidji, MN 56601-8748
Phone 763-438-4611
Mailing address
2930 Florence Ln NwBemidji, MN 56601-8748
Phone 763-438-4611
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