Individual
AUDREY EMMA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 FORDHAM RD, ALLSTON, MA 02134-3000
(617) 782-6460
Mailing address
8 SELKIRK RD, BRIGHTON, MA 02135-7812
(214) 938-2055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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