Individual
MS. AUDREY GRACE EADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2712 24TH AVE APT 4B, ASTORIA, NY 11102-1903
(315) 982-4998
Mailing address
2712 24TH AVE APT 4B, ASTORIA, NY 11102-1903
(315) 982-4998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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