MATTHEW BOUCHER

PROVIDENCE, RI
NPI1740347822
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  ISW01967)
Enumeration Date2007-01-02
Last Update Date2009-03-24
Business Address
-- MATTHEW BOUCHER LICSW
101 DUDLEY ST
PROVIDENCE, RI 02905-2401
Phone number: 401-274-1100
Mailing Address
-- MATTHEW BOUCHER LICSW
101 DUDLEY ST
PROVIDENCE, RI 02905-2401
Phone number: 401-274-1100
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