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Individual

ELISABETH BOUCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5005 N PIEDRAS ST, WILLIAM BEAUMONT ARMY MEDICAL CENTER, EL PASO, TX 79920-5001
(915) 569-1382
(915) 569-4890
Mailing address
5005 N PIEDRAS ST, WILLIAM BEAUMONT ARMY MEDICAL CENTER, EL PASO, TX 79920-5001
(915) 569-1382
(915) 569-4890

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AC00966

Other

Enumeration date
04/23/2009
Last updated
04/23/2009
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