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1972682557
CARL SCOTT FREEMAN GUSTAFSON
WEST BARNSTABLE, MA
NPI
1972682557
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Other Name
CARL SCOTT GUSTAFSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MA 8060)
Enumeration Date
2006-11-03
Last Update Date
2007-07-09
Business Address
Dr. CARL SCOTT FREEMAN GUSTAFSON Psy.D.
1074 MAIN ST
WEST BARNSTABLE, MA 02668-1142
Phone number: 508-362-1180
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Mailing Address
Dr. CARL SCOTT FREEMAN GUSTAFSON Psy.D.
104 BRIGANTINE DR
HATCHVILLE, MA 02536-3958
Phone number: 508-563-5037
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