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1255592069
RENELLE GUSTAFSON
SEATTLE, WA
NPI
1255592069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW00007732)
Enumeration Date
2008-06-24
Last Update Date
2008-06-24
Business Address
Ms. RENELLE GUSTAFSON MSW, LICSW
325 9TH AVE BOX 359760
SEATTLE, WA 98104-2420
Phone number: 206-744-2292
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Mailing Address
Ms. RENELLE GUSTAFSON MSW, LICSW
325 9TH AVE BOX 359760
SEATTLE, WA 98104-2420
Phone number: 206-744-2292
Copy
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