Individual
BRIDGET GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9420 LINDALE AVE, BATON ROUGE, LA 70815-4161
(225) 442-3540
Mailing address
235 CIVIC CENTER BLVD, HOUMA, LA 70360-5937
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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