Individual
DONNA LEE BOUCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1265 SW PACIFIC AVE, CHEHALIS, WA 98532-3624
(360) 807-7245
(360) 748-0767
Mailing address
1265 SW PACIFIC AVE, CHEHALIS, WA 98532-3624
(360) 807-7245
(360) 748-0767
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60423180
WA
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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