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1891125696
TARA GUSTAFSON
SEATTLE, WA
NPI
1891125696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG60312656)
Enumeration Date
2013-11-15
Last Update Date
2013-11-15
Business Address
-- TARA GUSTAFSON
6908 30TH AVE S
SEATTLE, WA 98108-3768
Phone number: 206-930-1548
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Mailing Address
-- TARA GUSTAFSON
12430 83RD AVE S
SEATTLE, WA 98178-4918
Phone number:
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