Kylee A. Bouchard LCSW
Clinical Social Worker in Bangor, ME(View on Map)
Full Name
Kylee Ann Bouchard LCSW
NPI Number
1497233886
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/30/2018
Specialties
(Taxonomies)Licenses
State
Maine
Maine
License Number
LC22049
MC17353
Contact
Information
Purpose
Mailing
Location
Address
268 STILLWATER AVE
268 STILLWATER AVE
City
Bangor
Bangor
State
ME
ME
Postal Code
04401-3945
04401-3945
Country
US
US
Telephone Number
(207) 973-6100
(207) 973-6100
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/26/2023