Susan Gustofson
NPI #1124343900 in Allston, Massachusetts
Provider Information
- NPI Number
- 1124343900
- Entity Type
- Individual
- Name
- Susan Gustofson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 5, 2010
- Last Updated
- Apr 5, 2010
Practice Location
- Address
- 14 FORDHAM RD
- City
- Allston
- State
- Massachusetts
- ZIP Code
- 02134-3006
- Phone
- (617) 782-6460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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