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Individual

GEORGIEANNA BOUCHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT APP

Contact information

Practice address
55 MARKET ST, IPSWICH, MA 01938-2262
(978) 356-0282
Mailing address
PO BOX 45, IPSWICH, MA 01938-0045

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14405
MA

Other

Enumeration date
06/21/2017
Last updated
06/16/2018
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