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1659849669
KELLY BOUCHER
LOUISVILLE, KY
NPI
1659849669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MA 9721)
Enumeration Date
2018-11-07
Last Update Date
2018-11-07
Business Address
KELLY BOUCHER M.S., CCC-SLP
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
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Mailing Address
KELLY BOUCHER M.S., CCC-SLP
2 MORNINGDALE AVE
BOYLSTON, MA 01505-1915
Phone number: 508-873-9813
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