Individual
EMILY ROSE GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
15243 NOWTHEN BLVD NW, RAMSEY, MN 55303-6138
(612) 900-0233
(866) 627-0910
Mailing address
9774 MAGNOLIA ST NW, COON RAPIDS, MN 55433-5431
(763) 807-5707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19227
MN
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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