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1760556237
TAMI BOULET
SAN LEANDRO, CA
NPI
1760556237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS12190)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
-- TAMI BOULET
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-481-1222
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Mailing Address
-- TAMI BOULET
69 NORTHGATE AVE
BERKELEY, CA 94708-2050
Phone number: 510-649-3079
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