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1902138480
MARY BETH GUSTAFSON
MINNEAPOLIS, MN
NPI
1902138480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 15931)
Enumeration Date
2010-02-08
Last Update Date
2010-02-08
Business Address
Ms. MARY BETH GUSTAFSON LICSW
1845 E LAKE ST
MINNEAPOLIS, MN 55407-1859
Phone number: 612-721-6215
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Mailing Address
Ms. MARY BETH GUSTAFSON LICSW
1845 E LAKE ST
MINNEAPOLIS, MN 55407-1859
Phone number: 612-721-6215
Copy
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