Most Relevant Information
Provider Data
| NPI Number: | 1003019159 |
| Provider Name: | ELAINE M. BOAL B. A. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/07/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
100 CALDWELL DR
DU BOIS
PA
158011152
Practice Location Phone/Fax
| Phone: | 8143711100 |
| Fax: |
Provider Mailing Location
100 CALDWELL DR
DU BOIS
PA
158011152
Provider Mailing Phone/Fax
| Phone: | 8143711100 |
| Fax: |