Individual
SHELLEY ANN SOUCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13006 MONTROSE GROVE CT, RIVERVIEW, FL 33579-4090
(727) 831-8477
(813) 374-9611
Mailing address
13006 MONTROSE GROVE CT, RIVERVIEW, FL 33579-4090
(727) 831-8477
(813) 374-9611
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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