Boucher, Kathleen M
Boucher, Kathleen M is an individual health care provider with primary practice located at 1078 West Main St , Waterbury CT 06708-2651. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boucher, Kathleen M can be contacted via phone (203) 753-8336.Contact Information
Primary practice address
1078 West Main St
Waterbury CT 06708-2651
Phone: (203) 753-8336
Fax: (203) 753-7618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 000296LCSW | Connecticut |
Profile Details
| NPI number | 1023191756 |
|---|---|
| LBN Legal business name | Boucher, Kathleen M |
| Credentials | LCSW MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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