Susan Goughary, M.S., L.AC., L.M.T.
NPI #1407162845 in Southport, Connecticut
Provider Information
- NPI Number
- 1407162845
- Entity Type
- Individual
- Name
- Susan Goughary, M.S., L.AC., L.M.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Acupuncturist
- Credential
- M.S., L.AC., L.M.T.
- Enumeration Date
- Aug 23, 2010
- Last Updated
- Aug 23, 2010
Practice Location
- Address
- 2551 POST RD
- City
- Southport
- State
- Connecticut
- ZIP Code
- 06890-1217
- Phone
- (203) 583-7501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
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