Individual
TINA MARIE GUSTAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S, G.C.C.
Contact information
Practice address
604 HIGHWAY 80 W STE R, CLINTON, MS 39056-4108
(601) 473-2016
Mailing address
604 HIGHWAY 80 W STE R, CLINTON, MS 39056-4108
(601) 473-2016
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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