Individual
MRS. AUDRA URSULA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6223
(516) 569-6600
Mailing address
82 E LINCOLN AVE, VALLEY STREAM, NY 11580-5905
(515) 561-2149
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114405-01
NY
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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