MICHAEL BLANCHARD

BREWSTER, MA
NPI1104178219
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA  2277)
Enumeration Date2012-10-12
Last Update Date2012-10-12
Business Address
-- MICHAEL BLANCHARD LADC-II
745 HARWICH RD
BREWSTER, MA 02631-2536
Phone number: 774-994-0412
Mailing Address
-- MICHAEL BLANCHARD LADC-II
PO BOX 852
BREWSTER, MA 02631-0852
Phone number:
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