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1629356977
AMY STACK GUSTAVSON
NEW YORK, NY
NPI
1629356977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 002405-1)
Enumeration Date
2011-08-03
Last Update Date
2011-08-03
Business Address
Mrs. AMY STACK GUSTAVSON MS, LMHC
251 LAFAYETTE ST FL 3
NEW YORK, NY 10012-4067
Phone number: 212-570-1693
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Mailing Address
Mrs. AMY STACK GUSTAVSON MS, LMHC
3726 HILAIRE WAY
SEAFORD, NY 11783-2710
Phone number: 718-352-2140
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