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Individual

MRS. JUDY KAY GUSTAFSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCSW, CAC

Contact information

Practice address
3310 W RIDGE PIKE, SUITE 11, POTTSTOWN, PA 19464-3450
(610) 495-1530
(610) 495-7840
Mailing address
PO BOX 5052, LIMERICK, PA 19468-0952
(610) 495-1530
(610) 495-7840

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2707
PA
1041C0700X
Clinical Social Worker
CW015335
PA

Other

Enumeration date
05/18/2006
Last updated
09/11/2025
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