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Search › New Jersey › 1041C0700X

Clyde Boucher, LCSW

NPI 1538489968 · on the registry since 2010 · sole proprietor

Practice

Address
1930 Route 70 E
Suite M 68
Cherry Hill, NJ 08003
Phone
(856) 751-0505
Organisation at this address
Titan Rx
The Lifezone Llc
Gregory D Mills Dpm
The Center Pharmacy
It'S Meryl Time, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Additional practice sites

  • 66 N Main St, Medford, NJ

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey