CLARENCE D GONSALVES

BOSTON, MA
NPI1144496878
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: MA  S71703937)
Enumeration Date2008-05-02
Last Update Date2011-05-23
Business Address
-- CLARENCE D GONSALVES
321 BLUE HILL AVE
BOSTON, MA 02121-4302
Phone number: 617-541-6859
Mailing Address
-- CLARENCE D GONSALVES
84 MOUNT VERNON ST # 2
MALDEN, MA 02148-6714
Phone number: 857-247-7425
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