KELLY GUSTAFSON

DEKALB, IL
NPI1508691023
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-09-04
Last Update Date2024-09-04
Business Address
KELLY GUSTAFSON
12 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone number: 815-756-4875
Mailing Address
KELLY GUSTAFSON
PO BOX 1109
DEKALB, IL 60115-7109
Phone number: 815-766-3024
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