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Search › Connecticut › 390200000X

Wallace Gustafson, MAP, MA

NPI 1972212959 · on the registry since 2022

Practice

Address
331 Wethersfield Ave
Hartford, CT 06114
Phone
(860) 236-4511
Organisation at this address
Genoa Healthcare Llc
The Village For Families And Children
Inferred from a shared address, not stated in the registry.
Clinicians at this address
98

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Female
Record last updated
2022-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut