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Individual

ADRIENNE ELLEN SOUCY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
KENNEDY DONOVAN CENTER, 486 WORCESTER ST., SOUTHBRIDGE, MA 01550
(508) 765-0292
(508) 765-0294
Mailing address
KENNEDY DONOVAN CENTER, 486 WORCESTER ST., SOUTHBRIDGE, MA 01550
(508) 765-0292
(508) 765-0294

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
10/02/2019
Last updated
10/02/2019
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