Individual
MR. DOLAN SAMUEL BEAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2037 WILLOW DR, PETALUMA, CA 94954-3842
(707) 291-2208
(707) 778-1334
Mailing address
2037 WILLOW DR, PETALUMA, CA 94954-3842
(707) 291-2208
(707) 778-1334
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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