Individual
MRS. TAMMY MARIE BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
728 CENTRAL AVE, DOVER, NH 03820-3494
(603) 742-5662
(603) 743-5106
Mailing address
729 TRI CITY RD, SOMERSWORTH, NH 03878-1337
(603) 781-0250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1471
NH
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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