| Loretta Bouchard Lscw Llc | |
|
61 Glenwild Ave Bloomingdale NJ 07403-1544 | |
| (908) 343-6413 | |
| Not Available |
| Full Name | Loretta Bouchard Lscw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 61 Glenwild Ave, Bloomingdale, New Jersey |
| Authorized Official Name and Position | Loretta Bouchard (OWNER) |
| Authorized Official Contact | 9083436413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loretta Bouchard Lscw Llc 61 Glenwild Ave Bloomingdale NJ 07403-1544 Ph: (908) 343-6413 | Loretta Bouchard Lscw Llc 61 Glenwild Ave Bloomingdale NJ 07403-1544 Ph: (908) 343-6413 |
| NPI Number | 1174482046 |
|---|---|
| Provider Enumeration Date | 01/16/2026 |
| Last Update Date | 02/09/2026 |
| Certification Date | 02/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174482046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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