Individual
CHRISTINE SOUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 N MAIN ST, ENFIELD, CT 06082-3372
(860) 347-6971
(860) 638-6601
Mailing address
49 LESLIE ST, WINDSOR LOCKS, CT 06096-1116
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4044
CT
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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