SUSAN LAURA BOULWARE

SACRAMENTO, CA
NPI1326254343
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy102L00000X Psychoanalyst
(Licence: CA  MFT23850)
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
DR. SUSAN LAURA BOULWARE PHD
2609 CAPITOL AVE
SACRAMENTO, CA 95816-5904
Phone number: 916-492-9442
Mailing Address
DR. SUSAN LAURA BOULWARE PHD
2609 CAPITOL AVE
SACRAMENTO, CA 95816-5904
Phone number: 916-492-9442
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