ELISE BOUDREAU

THE MENTAL HEALTH CTR FOR SOUTHERN NEW HAMPSHIRE

Dr ELISE BOUDREAU is a female medical professional, specializing in Clinical Social Worker. She graduated in 1997 from Boston University School Of Medicine.

Contact

THE MENTAL HEALTH CTR FOR SOUTHERN NEW HAMPSHIRE

10 TSIENNETO RD
DERRY
NH
030381505

Tel: 6034341577

ELISE BOUDREAU Information

Npi 1104901149
Pac Id 1456518059
Professional Enrollment Id I20120209000662
Last Name BOUDREAU
First Name ELISE
Middle Name
Suffix
Gender F
Credential
Medical School Name BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1997
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THE MENTAL HEALTH CTR FOR SOUTHERN NEW HAMPSHIRE
Group Practice Pac Id 4981594199
Number Of Group Practice Members 15
Line 1 Street Address 10 TSIENNETO RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DERRY
State NH
Zip Code 030381505
Phone Number 6034341577
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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