Individual
DEBRA BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 SCHOOL ST, GARDNER, MA 01440-2781
(978) 630-4918
Mailing address
60 MONSON TURNPIKE RD, PETERSHAM, MA 01366-9604
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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