Individual
ALICIA LYN SOUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
45 CHURCH ST, WALLAGRASS, ME 04781-3039
(207) 231-0037
(207) 800-1004
Mailing address
45 CHURCH ST, WALLAGRASS, ME 04781-3039
(207) 814-7980
(207) 800-1004
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP191268
ME
Other
Enumeration date
10/21/2019
Last updated
09/24/2024
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