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Individual

BRIDGETTE BOUCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, MS

Contact information

Practice address
2021 1ST AVE APT 4F, NEW YORK, NY 10029-5091
(212) 729-4549
Mailing address
2021 1ST AVE APT 4F, NEW YORK, NY 10029-5091
(212) 729-4549

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
082710-01
NY

Other

Enumeration date
06/25/2021
Last updated
06/25/2021
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