Individual
CHRISANN BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3 ANACKI LN, BRIDGEWATER, MA 02324-3186
(617) 678-3743
Mailing address
3 ANACKI LN, BRIDGEWATER, MA 02324-3186
(617) 678-3743
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110505-1
MA
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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