MRS. Alexandra Boucher, LCSW

NPI #1952989584 in Peoria, Illinois

Provider Information

NPI Number: 1952989584
Entity Type: Individual
Name: MRS. Alexandra Boucher, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Apr 2, 2021
Last Updated: Apr 2, 2021

Practice Location

Address: 8914 N PRAIRIE POINTE RD
City: Peoria
State: Illinois
ZIP Code: 61615-1574
Phone: (309) 265-8899

Specialties & Taxonomy Codes

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

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