Bouchard, Loretta Marie
Bouchard, Loretta Marie is an individual health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314-5604. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bouchard, Loretta Marie can be contacted via phone (912) 315-6430.Contact Information
Primary practice address
1061 Harmon Ave
Fort Stewart GA 31314-5604
Phone: (912) 315-6430
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW003609 | Georgia |
Profile Details
| NPI number | 1295795128 |
|---|---|
| LBN Legal business name | Bouchard, Loretta Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Mar 18th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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