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Individual

AMY CATHERINE BOUCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1610 E. SUNSHINE STREET, SPRINGFIELD, MO 65804
(417) 523-7500
(417) 523-7595
Mailing address
1610 E. SUNSHINE STREET, SPRINGFIELD, MO 65804
(417) 523-7500
(417) 523-7595

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1999135028
MO

Other

Enumeration date
10/23/2007
Last updated
05/01/2024
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