Individual
DEBORAH WACHTER BOUCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
120 W EXCHANGE ST, SUITE 300, OWOSSO, MI 48867-2834
(989) 723-8239
(989) 723-8230
Mailing address
901 CHIPPEWA ST, FLINT, MI 48503-1552
(810) 232-9950
(810) 232-7599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801089036
MI
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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