Individual
KIRSTEN BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10433 MOHAWK TRL, INDIANAPOLIS, IN 46234-3640
(317) 286-2488
Mailing address
10433 MOHAWK TRL, INDIANAPOLIS, IN 46234-3640
(317) 286-2488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004772A
IN
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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