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1548285158
MICHAEL DEAN GUSACK
BROOMFIELD, CO
NPI
1548285158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO LPC.0015851)
Enumeration Date
2006-07-13
Last Update Date
2020-05-27
Business Address
Mr. MICHAEL DEAN GUSACK LPC
645 ELDORADO BLVD APT 1213
BROOMFIELD, CO 80021-8835
Phone number: 850-737-0022
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Mailing Address
Mr. MICHAEL DEAN GUSACK LPC
645 ELDORADO BLVD APT 1213
BROOMFIELD, CO 80021-8835
Phone number: 850-737-0022
Copy
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