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1316165301
MICHAEL LOUIS BOUCHER
SYRACUSE, NY
NPI
1316165301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 003804)
Enumeration Date
2007-04-23
Last Update Date
2016-09-07
Business Address
Dr. MICHAEL LOUIS BOUCHER Ph.D.
307 SEMLOH DR
SYRACUSE, NY 13219-2829
Phone number: 315-468-0558
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Mailing Address
Dr. MICHAEL LOUIS BOUCHER Ph.D.
307 SEMLOH DR
SYRACUSE, NY 13219-2829
Phone number: 315-468-0558
Copy
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