TRACY ELAINE GUSTAFSON

PAWTUCKET, RI
NPI1093230369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-08-08
Last Update Date2017-08-08
Business Address
TRACY ELAINE GUSTAFSON MA
160 BEECHWOOD AVE
PAWTUCKET, RI 02860-5402
Phone number: 401-724-8400
Mailing Address
TRACY ELAINE GUSTAFSON MA
249 ROOSEVELT AVE
PAWTUCKET, RI 02860-2134
Phone number: 401-724-8400