Individual
MS. AUDREY PERRY DANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
118 LONG POND RD, SUITE 100, PLYMOUTH, MA 02360-2662
(508) 747-7783
(508) 747-7838
Mailing address
PO BOX 1068, CENTERVILLE, MA 02632-1068
(508) 951-5958
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LADC 1 451
MA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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