Individual
JOANNE M BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 GROVE ST, TORRINGTON, CT 06790-5047
(860) 482-5558
(860) 489-2984
Mailing address
132 GROVE ST, TORRINGTON, CT 06790-5047
(860) 482-5558
(860) 489-2984
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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