LISA GUSTAFSON

BISMARCK, ND
NPI1932542180
Former NameLISA ANN PETERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: ND  474)
Enumeration Date2013-04-08
Last Update Date2013-10-27
Business Address
-- LISA GUSTAFSON Ph.D., PLLC
200 E MAIN AVE SUITE 202
BISMARCK, ND 58501-3857
Phone number: 701-400-5472
Mailing Address
-- LISA GUSTAFSON Ph.D., PLLC
200 E MAIN AVE SUITE 202
BISMARCK, ND 58501-3857
Phone number: 701-400-5472
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