Mckayla Diane Soucy, CRMA, DSP, CNA

NPI #1982244570 in Van Buren, Maine

Provider Information

NPI Number: 1982244570
Entity Type: Individual
Name: Mckayla Diane Soucy, CRMA, DSP, CNA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Credential: CRMA, DSP, CNA
Enumeration Date: Jan 10, 2020
Last Updated: Jan 10, 2020

Practice Location

Address: 168 MAIN ST
City: Van Buren
State: Maine
ZIP Code: 04785-1238
Phone: (207) 868-4226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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