Individual
MS. KATHERINE BOUCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 WARREN ST, LOWELL, MA 01852-2208
(978) 452-1736
Mailing address
148 WARREN ST, LOWELL, MA 01852-2208
(978) 452-1736
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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