Individual
AUDREY KAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 S HUNTINGTON AVE UNIT 106, BOSTON, MA 02130-5246
(301) 801-0195
Mailing address
221 S HUNTINGTON AVE UNIT 106, BOSTON, MA 02130-5246
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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