Marian Bouchard, LCSW

NPI #1295829570 in Fort Fairfield, Maine

Provider Information

NPI Number: 1295829570
Entity Type: Individual
Name: Marian Bouchard, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 23 HIGH ST
City: Fort Fairfield
State: Maine
ZIP Code: 04742-1021
Phone: (207) 768-4736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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