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1174702922
MARY GUSTAFIK
SANDPOINT, ID
NPI
1174702922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID 3849)
Enumeration Date
2007-10-29
Last Update Date
2007-10-29
Business Address
MARY GUSTAFIK LPC
312 S FIRST AVE LOWR LEVEL
SANDPOINT, ID 83864-1202
Phone number: 208-263-7727
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Mailing Address
MARY GUSTAFIK LPC
202 E ANTON AVE STE 206
COEUR D ALENE, ID 83815-3779
Phone number: 208-667-6095
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