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1679880165
DAIL MARIE BOUCHARD
VINEYARD HAVEN, MA
NPI
1679880165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MA 477)
Enumeration Date
2010-09-07
Last Update Date
2010-09-07
Business Address
MS. DAIL MARIE BOUCHARD LADC-1, CADAC
111 EDGARTOWN VINEYARD HAVEN RD
VINEYARD HAVEN, MA 02568-4036
Phone number: 508-693-7900
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Mailing Address
MS. DAIL MARIE BOUCHARD LADC-1, CADAC
111 EDGARTOWN VINEYARD HAVEN RD
VINEYARD HAVEN, MA 02568-4036
Phone number: 508-693-7900
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