MARY BOUCHER LICSW NPI 1902381114

NPI Information

MARY BOUCHER LICSW is an adult mental health clinic center in Dover, NH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MARY BOUCHER LICSW NPI is 1902381114. The provider is registered as an organization entity type.

The provider's business location address is:

6 OLD ROCHESTER RD STE 102C
DOVER, NH
ZIP 03820-028
Phone: (603) 828-2434

The provider's authorized official is Mary Boucher .
The authorized official title is Owner and has the following contact phone number (603) 828-2434.

The enumeration date for this NPI number is 10/3/2018 and was last updated on 10/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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