Individual
MS. JESSICA BOUCHER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 PLEASANT ST, NEW BEDFORD, MA 02740
(508) 642-6012
Mailing address
1061 PLEASANT ST, NEW BEDFORD, MA 02740-6728
(508) 642-6012
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
115680
MA
Other
Enumeration date
03/05/2008
Last updated
11/04/2013
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