Individual
DR. SUSAN A BOUCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSW, MSW
Contact information
Practice address
2 ELM ST, WATERVILLE, ME 04901-5905
(207) 873-0866
Mailing address
2 ELM ST, WATERVILLE, ME 04901-5905
(207) 873-0866
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC293
ME
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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