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Individual

CYNTHIA PAGE BOUCHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1450 FURNACE AVE, GLEN BURNIE, MD 21060-7002
(410) 222-6911
Mailing address
289 SCOTTS GLN, GLEN BURNIE, MD 21061-6202
(443) 816-3418

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004433
MD

Other

Enumeration date
12/19/2018
Last updated
12/19/2018
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