MARY BETH GUSTAFSON

MINNEAPOLIS, MN
NPI1902138480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  15931)
Enumeration Date2010-02-08
Last Update Date2010-02-08
Business Address
Ms. MARY BETH GUSTAFSON LICSW
1845 E LAKE ST
MINNEAPOLIS, MN 55407-1859
Phone number: 612-721-6215
Mailing Address
Ms. MARY BETH GUSTAFSON LICSW
1845 E LAKE ST
MINNEAPOLIS, MN 55407-1859
Phone number: 612-721-6215