CERISE ELISE BOUCHARD

LEXINGTON, KY
NPI1407152234
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: KY  201197964)
Enumeration Date2011-01-26
Last Update Date2022-06-14
Business Address
CERISE ELISE BOUCHARD CLC
1733 BROOK PARK DR
LEXINGTON, KY 40515-1306
Phone number: 859-576-1062
Mailing Address
CERISE ELISE BOUCHARD CLC
1733 BROOK PARK DR
LEXINGTON, KY 40515-1306
Phone number: 859-576-1062
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