Patricia Gustafson

NPI #1245326891 in Antigo, Wisconsin

Provider Information

NPI Number: 1245326891
Entity Type: Individual
Name: Patricia Gustafson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1225 LANGLADE ROAD
City: Antigo
State: Wisconsin
ZIP Code: 54409
Phone: (715) 623-2394

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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