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Organization

KYLA E WHITE LMHC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYLA WHITE LMHC, LADC (PRESIDENT, PROVIDER)
(508) 422-0024
Entity
Organization

Contact information

Practice address
300 W MAIN ST STE A4, NORTHBOROUGH, MA 01532-2132
(508) 422-0024
Mailing address
300 W MAIN ST STE A4, NORTHBOROUGH, MA 01532-2132
(508) 422-0024

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center

Other

Enumeration date
03/19/2021
Last updated
03/19/2021
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