Individual
JILL SOUCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4 PINE TREE LN, GLASTONBURY, CT 06033-3620
(508) 254-0527
Mailing address
4 PINE TREE LN, GLASTONBURY, CT 06033-3620
(508) 254-0527
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007193
CT
Other
Enumeration date
02/01/2010
Last updated
08/11/2020
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