MS. Jessica Boucher III

NPI #1114197266 in New Bedford, Massachusetts

Provider Information

NPI Number: 1114197266
Entity Type: Individual
Name: MS. Jessica Boucher III
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 5, 2008
Last Updated: Nov 4, 2013

Practice Location

Address: 1061 PLEASANT ST
City: New Bedford
State: Massachusetts
ZIP Code: 02740
Phone: (508) 642-6012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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