Individual
MS. JUNE ELLEN BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1287 E DRUCKER ST, MERIDIAN, ID 83642-4031
(208) 571-1120
Mailing address
1553 N MILWAUKEE ST # 338, BOISE, ID 83704-8471
(208) 519-6971
(208) 963-3056
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-35956
ID
Other
Enumeration date
08/15/2017
Last updated
02/15/2022
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