Adrienne Ellen Soucy

NPI #1699316406 in Southbridge, Massachusetts

Provider Information

NPI Number: 1699316406
Entity Type: Individual
Name: Adrienne Ellen Soucy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Oct 2, 2019
Last Updated: Oct 2, 2019

Practice Location

Address: KENNEDY DONOVAN CENTER
Address 2: 486 WORCESTER ST.
City: Southbridge
State: Massachusetts
ZIP Code: 01550
Phone: (508) 765-0292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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