Individual
MATTHEW BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
17 ASHTON PKWY STE 204, CUMBERLAND, RI 02864-4827
(014) 354-9708
(401) 333-4692
Mailing address
17 ASHTON PKWY STE 204, CUMBERLAND, RI 02864-4827
(401) 354-9708
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW01967
RI
1041C0700X
Clinical Social Worker
ISW01967
RI
Other
Enumeration date
01/02/2007
Last updated
04/23/2025
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