MATTHEW IAN BOUCHARD

BURLINGTON, VT
NPI1174106884
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VT  089.0134397)
Enumeration Date2021-04-30
Last Update Date2021-04-30
Business Address
MATTHEW IAN BOUCHARD LICSW
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401-5911
Phone number: 802-657-7087
Mailing Address
MATTHEW IAN BOUCHARD LICSW
128 LAKESIDE AVE STE 260
BURLINGTON, VT 05401-5911
Phone number: 802-657-7090
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