Organization
MARY BOUCHER LICSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BOUCHER LCSW (OWNER)
(603) 828-2434
Entity
Organization
Contact information
Practice address
6 OLD ROCHESTER RD STE 102C, DOVER, NH 03820-2028
(603) 828-2434
Mailing address
90 NOBLE ST, SOMERSWORTH, NH 03878-2628
(603) 828-2434
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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