DAVID BOULANGER

JOHNSTON, RI
NPI1942725403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: RI  CDP00696)
Enumeration Date2017-08-07
Last Update Date2022-07-21
Business Address
DAVID BOULANGER
985 PLAINFIELD ST
JOHNSTON, RI 02919-6703
Phone number: 401-946-0650
Mailing Address
DAVID BOULANGER
985 PLAINFIELD ST
JOHNSTON, RI 02919-6703
Phone number: 401-946-0650