Individual
EMILY ANN GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, ATR
Contact information
Practice address
110 2ND ST S STE 235, WAITE PARK, MN 56387-1313
(320) 200-7894
Mailing address
17999 140TH AVE, LITTLE FALLS, MN 56345-4095
(320) 420-8179
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3442
MN
Other
Enumeration date
08/25/2021
Last updated
08/30/2021
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