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1538489968
CLYDE LOUIS BOUCHER
CHERRY HILL, NJ
NPI
1538489968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC0133900009)
Enumeration Date
2010-06-08
Last Update Date
2019-12-05
Business Address
Mr. CLYDE LOUIS BOUCHER LCSW
1930 ROUTE 70 E SUITE M 68
CHERRY HILL, NJ 08003-2150
Phone number: 856-751-0505
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Mailing Address
Mr. CLYDE LOUIS BOUCHER LCSW
1930 ROUTE 70 E STE V105
CHERRY HILL, NJ 08003-4101
Phone number: 856-751-0505
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