Individual
MIREILLE S GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCNS
Contact information
Practice address
25 MARSHALL ST, NORTH ADAMS, MA 01247
(413) 664-4541
(413) 662-3311
Mailing address
725 NORTH ST, DEPARTY OF PSYCHIATRY, PITTSFIELD, MA 01201
(413) 664-4541
(413) 662-3311
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
169385
MA
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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