EARL BOISCLAIR

SANTA ROSA, CA
NPI1255725495
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-03-25
Last Update Date2015-03-25
Business Address
-- EARL BOISCLAIR
2470 LEMUR ST
SANTA ROSA, CA 95401-6743
Phone number: 707-479-9517
Mailing Address
-- EARL BOISCLAIR
2470 LEMUR ST
SANTA ROSA, CA 95401-6743
Phone number:
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