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Individual

KAITLIN BOUCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2960 ROOSEVELT BLVD, CLEARWATER, FL 33760-1952
(727) 327-7656
(727) 322-2110
Mailing address
1301 SEMINOLE BLVD STE 169, LARGO, FL 33770-8118
(727) 674-5848
(727) 322-2110

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/23/2015
Last updated
05/06/2021
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