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Individual

MS. GWENDOLYN LYNETTE BUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
660 WINCHESTER AVE, NEW HAVEN, CT 06511-1969
(203) 776-8390
(203) 773-0788
Mailing address
5 CHRIS JON CIR, WEST HAVEN, CT 06516-1232
(203) 494-9026
(203) 773-0788

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/22/2006
Last updated
07/08/2007
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