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Individual

MRS. CATHERINE WEISS BOUCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
50 LYDIA LN, SOUTH PORTLAND, ME 04106-2156
(207) 221-8624
(207) 221-8689
Mailing address
306 ALFRED ST, BIDDEFORD, ME 04005-3102
(207) 229-1847
(207) 221-8689

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
09/07/2007
Last updated
10/14/2013
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