Individual
DR. CHANTAL. MARIE BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.H, M.A., PH.D.
Contact information
Practice address
500 E. WASHINGTON ST., SUITE 100., ANN ARBOR., MI 48104-2057
(734) 764-3471
(734) 764-8128
Mailing address
1814 DURHAM PLACE., WINDSOR., ONTARIO. N8W 3-A3
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
05/10/2019
Last updated
07/21/2022
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