Individual
MARY SUSAN HUNGERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
305 BOSTON AVE, STRATFORD, CT 06614-5246
(203) 384-3377
Mailing address
1741 MAIN ST, STRATFORD, CT 06615-6556
(203) 556-5223
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
E42847
CT
Other
Enumeration date
03/01/2007
Last updated
03/17/2008
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