Individual
AMAYA AYANNA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 UNION ST STE 215, LAWRENCE, MA 01840-1866
(978) 505-2022
Mailing address
460 RIVER RD APT 104, ANDOVER, MA 01810-4323
(978) 505-2022
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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