ELIZABETH LAUREN THERIAULT

SANTA ROSA, CA
NPI1568349512
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  96826)
Enumeration Date2025-08-20
Last Update Date2025-08-20
Business Address
ELIZABETH LAUREN THERIAULT MOH, MSW
4415 SONOMA HWY STE B
SANTA ROSA, CA 95409-4165
Phone number: 707-327-0909
Mailing Address
ELIZABETH LAUREN THERIAULT MOH, MSW
4415 SONOMA HWY STE B
SANTA ROSA, CA 95409-4165
Phone number: 707-327-0909
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