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1013064112
HOLLY BETH GUSTAFSON
LOUISVILLE, KY
NPI
1013064112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: KY 736)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
Dr. HOLLY BETH GUSTAFSON PhD
1169 EASTERN PKWY STE 431
LOUISVILLE, KY 40217-1417
Phone number: 502-212-1032
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Mailing Address
Dr. HOLLY BETH GUSTAFSON PhD
1169 EASTERN PKWY STE 431
LOUISVILLE, KY 40217-1417
Phone number: 502-212-1032
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