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1538298146
K. MICHAEL BOUCHER
ALBANY, OR
NPI
1538298146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L2692)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
-- K. MICHAEL BOUCHER LCSW
425 ELLSWORTH ST SW
ALBANY, OR 97321-2362
Phone number: 541-619-8121
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Mailing Address
-- K. MICHAEL BOUCHER LCSW
425 ELLSWORTH ST SW
ALBANY, OR 97321-2362
Phone number: 541-619-8121
Copy
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