Individual
CASSANDRA BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4413 CORUNNA RD, FLINT, MI 48532-4321
(810) 733-5735
Mailing address
2361 E TOBIAS RD, CLIO, MI 48420-7904
(810) 625-2490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801103810
MI
Other
Enumeration date
02/12/2019
Last updated
04/10/2026
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