WILLIAM DALE GOULART

MERIDIAN, ID
NPI1548098213
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
Enumeration Date2024-07-24
Last Update Date2024-07-24
Business Address
WILLIAM DALE GOULART
2463 E GALA ST
MERIDIAN, ID 83642-5209
Phone number: 717-858-3641
Mailing Address
WILLIAM DALE GOULART
252 N SHILLING AVE APT 4
BLACKFOOT, ID 83221-2364
Phone number: 717-858-3641
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