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NPI Code Detail

MEDICARE: AUDREY BROWN-PERKINS

MEDICARE: AUDREY BROWN-PERKINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1790044824
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREY BROWN-PERKINS
Provider Business Mailing Address
First Line : 520 DUDLEY ST
Second Line :
City : ROXBURY
State : MA
Zip : 02119-2769
Country : US
Telephone Number : 617-989-9499
Fax Number :
Provider Business Practice Location Address
First Line : 504 DUDLEY ST
Second Line :
City : ROXBURY
State : MA
Zip : 02119-2732
Country : US
Telephone Number : 617-445-6655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2012
Last Update Date : 05/09/2012

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Directions to “ AUDREY BROWN-PERKINS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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