Individual
MARIE SUSIE GUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 SHUTTLE MEADOW AVE, NEW BRITAIN, CT 06052
(860) 224-1313
Mailing address
365 SHUTTLE MEADOW AVE, NEW BRITAIN, CT 06052-1844
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
226
MA
Other
Enumeration date
06/26/2018
Last updated
06/27/2018
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