Individual
CHRISTINE MARIE BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1010 WALTHAM ST, LEXINGTON, MA 02421-8044
(734) 818-0333
Mailing address
12 KRISTYN LN, NORTH READING, MA 01864-2629
(734) 818-0333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117167
MA
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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