| Jill Soucy, Llc | |
|
4 Pine Tree Ln Glastonbury CT 06033-3620 | |
| (508) 254-0527 | |
| Not Available |
| Full Name | Jill Soucy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4 Pine Tree Ln, Glastonbury, Connecticut |
| Authorized Official Name and Position | Jill Soucy (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5082540527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Soucy, Llc 4 Pine Tree Ln Glastonbury CT 06033-3620 Ph: (508) 254-0527 | Jill Soucy, Llc 4 Pine Tree Ln Glastonbury CT 06033-3620 Ph: (508) 254-0527 |
| NPI Number | 1043821309 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 08/11/2020 |
| Certification Date | 08/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043821309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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