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Individual

MRS. NOMPELELO KHUMALO BOUCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
175 NATE WHIPPLE HWY STE 202, CUMBERLAND, RI 02864-1423
(401) 405-0700
Mailing address
9 RUSTIC LN, CUMBERLAND, RI 02864-1141
(617) 791-2645

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9201
MA
101YM0800X
Mental Health Counselor
Primary
MHC00708
RI

Other

Enumeration date
01/10/2007
Last updated
01/12/2025
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