Organization
CELINE BOUCHARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CELINE MARIE BOUCHARD LCSW (LICENSED CLINICAL SOCIAL WORKER)
(609) 802-2372
Entity
Organization
Contact information
Practice address
106 STRAUBE CENTER BLVD, F-111, PENNINGTON, NJ 08534-1449
(609) 802-2372
Mailing address
106 STRAUBE CENTER BLVD, F-111, PENNINGTON, NJ 08534-1449
(609) 802-2372
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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