Individual
DR. MONA GUSTAFSON AFFINITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D/
Contact information
Practice address
1359 WHITE OAK DR, CHASKA, MN 55318-1401
(952) 361-3681
(952) 361-3761
Mailing address
1359 WHITE OAK DR, CHASKA, MN 55318-1401
(952) 361-3681
(952) 361-3761
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3080
MN
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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