Individual
ELIZABETH SOUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
357 E CENTER ST, MANCHESTER, CT 06040-4472
(860) 463-8558
Mailing address
416 SWAMP RD, COVENTRY, CT 06238-1463
(860) 463-8558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003535
CT
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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