Individual
MS. EILEEN GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10335 CROSS CREEK BLVD, SUITE 23, TAMPA, FL 33647-2795
(352) 428-8463
(352) 597-2074
Mailing address
PO BOX 5797, SPRING HILL, FL 34611-5797
(352) 428-8463
(352) 597-2074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6283
FL
Other
Enumeration date
08/22/2005
Last updated
07/03/2008
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