Individual
ALYSON MARIE BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 CLARK AVENUE, LARIMORE, ND 58251
(218) 779-3229
Mailing address
211 4TH ST NE STE 8, DEVILS LAKE, ND 58301-2479
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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