Individual
MS. MICHELLE SOUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 WAYMAN LN, BAR HARBOR, ME 04609-1625
(207) 288-5081
(207) 288-7024
Mailing address
MOUNT DESERT ISLAND HOSPITAL, 10 WAYMAN LANE, BAR HARBOR, ME 04609
(207) 288-5081
(207) 288-7024
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC7560
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC7560
STATE LICENSE
ME
Enumeration date
03/30/2007
Last updated
07/08/2007
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