Individual
MADELINE L BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
1119 W KENNEDY AVE., SUITE A, KIMBERLY, WI 54136-2213
(920) 364-9668
(888) 625-8634
Mailing address
NORTHWEST COUNSELING & GUIDANCE CLINIC, PO BOX 309, SIREN, WI 54872-0309
(715) 349-7069
(888) 625-8634
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
132671-121
WI
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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