Individual
MRS. JOY BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWI
Contact information
Practice address
1933 N 1120 W, PROVO, UT 84604-1044
(801) 683-6830
Mailing address
467 W 250 S, SPANISH FORK, UT 84660-9296
(801) 921-1565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8494330-3506
UT
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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