| NPI | 1497791164 |
|---|---|
| Other Name | RICK BOUCHARD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC4009) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2024-08-12 |