Individual
PATRICK CARLTON BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 N 6TH AVE, STEUBENVILLE, OH 43952-1844
(740) 996-7100
Mailing address
5982 RHODES RD, KENT, OH 44240-8100
(330) 673-1347
(330) 678-3677
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2204015-TRNE
OH
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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