Individual
BARBARA ANN BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 2ND AVE NE STE 304A, ST PETERSBURG, FL 33701-3444
(201) 258-9850
Mailing address
111 2ND AVE NE STE 304A, ST PETERSBURG, FL 33701-3444
(201) 258-9850
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06042100
NJ
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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