Individual
AUDREY SIU FEN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 SOUTH ST, BOSTON, MA 02111-2826
(617) 521-6747
Mailing address
12 STONEHOLM ST APT 420, BOSTON, MA 02115-2914
(650) 842-0852
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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