Nicole Renae Boucher, SLP

NPI #1053530345 in Fargo, North Dakota

Provider Information

NPI Number
1053530345
Entity Type
Individual
Name
Nicole Renae Boucher, SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
SLP
Enumeration Date
Apr 25, 2007
Last Updated
Jan 27, 2014

Practice Location

Address
1702 UNIVERSITY DR S
City
Fargo
ZIP Code
58103-4940
Phone
(701) 364-3300

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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